EURORAD ESR

Case 8396

Perforated appendicitis with appendicolith

Author(s)
Viteri Ramirez G1, Noguera JJ1, Gomez-Ayechu M2, Garcia-Lallana A1, Zozaya G3, Saiz-Mendiguren R1

Radiology1 and General Surgery3 Departments. Clinica Universidad de Navarra. Pamplona, SPAIN
Anesthesia Department2. Clinica Ubarmin. Elcano, SPAIN
 
Patient
female, 51 year(s)
 
 
  • Figure 1
    Plain film

    Abdominal plain film. No salient anomalies were detected initially.

     
     
     
  • Figure 2
    US examination

    No painful limit-sized (6 mm) was found with an appendicolith inside (yellow arrows). Distal appendix and its tip were no visible.

     
     
     
  • Figure 3
    Plain film

    Abdominal plain film. Wide view. This image confirms the appendicolith (yellow arrow). It was initially missed because of adjacent battery and lumbar arthrodesis.

     
     
     
  • Figure 4
    Abdominal CT

    Contrast enhanced CT, coronal view. Appendicitis (arrowheads), appendicolith (yellow arrow) and periapendicular fat stranding (asterisk) were found.

     
     
     
Abdominal plain film. No salient anomalies were detected initially.
 
No painful limit-sized (6 mm) was found with an appendicolith inside (yellow arrows). Distal appendix and its tip were no visible.
 
Abdominal plain film. Wide view. This image confirms the appendicolith (yellow arrow). It was initially missed because of adjacent battery and lumbar arthrodesis.
 
Contrast enhanced CT, coronal view. Appendicitis (arrowheads), appendicolith (yellow arrow) and periapendicular fat stranding (asterisk) were found.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version