EURORAD ESR

Case 8795

Acute appendicitis in subhepatic location

Author(s)
Giannakopoulou L, Papadopoulos M, Tsanaktsidis I, Koutsokosta E, Anastasiadou K, Palladas P.

CT and MRI department of ''G.Papanikolaou'' General Hospital, Thessaloniki, Greece.
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    NECT of the right lower abdominal quadrant.
     

    Intraluminal appendicolith at the base of the appendix.

     

    At a more cranial level the distended appendix is surrounded by severe fat stranding.

     

    The appendix at a higher level.

     

    The inflamed appendix at a subhepatic level.

     

    Appendiceal and periappendiceal inflammation at an again higher level.

     

    The subhepatic location of the tip of the appendix with intraluminal gas.

     

    The tip of the appendix.

     
     
     
  • Figure 2
    Reconstructed CT of the appendix.

    The appendix is shown at its full length, along with the intraluminal appendicolith, the intraluminal gas, and the periappendiceal fat stranding.

     
     
     
  • Figure 3
    Coronal MPR images of the abdomen
     

    The base of the appendix at the posteromedial wall of the caecum.

     

    The intraluminal appendicolith.

     

    The inflamed appendix and the periappendiceal fat stranding at a more posterior plane.

     

    The tip of the appendix with intraluminal gas.

     
     
     
  • Figure 4
    Sagittal MPR images of the abdomen
     

    Intraluminal appendicolith.

     

    The inflamed retrocecal appendix and the pericecal fat infiltration.

     

    The tip of the appendix with intraluminal gas, located in the subhepatic space.

     
     
     
Intraluminal appendicolith at the base of the appendix.
 
At a more cranial level the distended appendix is surrounded by severe fat stranding.
 
The appendix at a higher level.
 
The inflamed appendix at a subhepatic level.
 
Appendiceal and periappendiceal inflammation at an again higher level.
 
The subhepatic location of the tip of the appendix with intraluminal gas.
 
The tip of the appendix.
 
The appendix is shown at its full length, along with the intraluminal appendicolith, the intraluminal gas, and the periappendiceal fat stranding.
 
The base of the appendix at the posteromedial wall of the caecum.
 
The intraluminal appendicolith.
 
The inflamed appendix and the periappendiceal fat stranding at a more posterior plane.
 
The tip of the appendix with intraluminal gas.
 
Intraluminal appendicolith.
 
The inflamed retrocecal appendix and the pericecal fat infiltration.
 
The tip of the appendix with intraluminal gas, located in the subhepatic space.
 
 
 
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