EURORAD ESR

Case 9832

A clinical case of appendiceal mucocele with early and late complications

Author(s)
Varrassi M1, Castellano A1, Liberatore E2, Monteferrante E2, Riva A3, Di Cesare E3

1Department of Radiology P.O S.Spirito Pescara, Italia Email:mvarrassi27@yahoo.it
2Department of Surgery 3 P.O. S. Spirito Pescara, Italia
3Department of Radiology Ospedale S. Salvatore L'Aquila, Italia
 
Patient
female, 52 year(s)
 
 
  • Figure 1
    Fluid-filled formation in right iliac fossa with calcifications

    CT coronal reconstruction showing, superiorly to the bladder, on the right, a fluid-filled formation with some evident calcifications at the bottom. Moreover an irregular, calcific colic wall-thickening can be...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Dilatation;
     
     
  • Figure 2
    Bowel infarction

    In CT post-contrast arterial phase image, ileum loops show diffuse parietal oedema, with evident air-fluid levels, without significant signs of vascularisations, as a condition of bowel infarction.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    Cavernous diffuse haemangioma of splenic flexure

    After intravenous administration of contrast medium the splenic flexure wall-thickening shows evident signs of vascularisation; moreover a severe stenosis of colic lumen can be appreciated.

     
    Area of Interest: Colon; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemangioma;
     
     
  • Figure 4
    Low-grade pseudomyxoma peritonei

    Presence of a fluid-filled, pseudo-cystic formation, in the right adnexal site. The histological finding could be referred to low-grade pseudomyxoma peritonei.

     
    Area of Interest: Pelvis; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 5
    Appendiceal mucocele

    Appendiceal mucocele

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Intraoperative; Special Focus: Dilatation;
     
     
  • Figure 6
    Diffuse cavernous haemangioma

    Diffuse cavernous haemangioma (purple)

     
    Area of Interest: Colon; Imaging Technique: CT; Procedure: Intraoperative; Special Focus: Haemangioma;
     
     
  • Figure 7
    Necrotic ileum loops (dark red) next to normal loops

    Necrotic ileum loops, in dark red, next to normally vascularized bowel loops.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT; Procedure: Intraoperative; Special Focus: Ischaemia / Infarction;
     
     
CT coronal reconstruction showing, superiorly to the bladder, on the right, a fluid-filled formation with some evident calcifications at the bottom. Moreover an irregular, calcific colic wall-thickening can be appreciated in left hypochondrium.
 
In CT post-contrast arterial phase image, ileum loops show diffuse parietal oedema, with evident air-fluid levels, without significant signs of vascularisations, as a condition of bowel infarction.
 
After intravenous administration of contrast medium the splenic flexure wall-thickening shows evident signs of vascularisation; moreover a severe stenosis of colic lumen can be appreciated.
 
Presence of a fluid-filled, pseudo-cystic formation, in the right adnexal site. The histological finding could be referred to low-grade pseudomyxoma peritonei.
 
Appendiceal mucocele
 
Diffuse cavernous haemangioma (purple)
 
Necrotic ileum loops, in dark red, next to normally vascularized bowel loops.
 
 
 
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