Complicated Appendicitis Acute Complicated Appendicitis in a 31-year Old Male Estimated reading: 1 minute 89 views Contributors Clinical History A 31-year old presented with 1 day history of central abdominal pain radiating to the right iliac fossa. Raised WCC and CRP. Case Description The patient was referred to have an ultrasound of the abdomen and pelvis to include the appendix. Ultrasound revealed an abnormal appendix in the RIF measuring 14 mm in AP calibre with significant probe tenderness observed while scanning the area. There was also evidence of mesenteric fat stranding around the inflamed appendix with hypervascularity within the appendix wall. An echogenic focus was seen within the appendix suggestive of a small appendicolith. Diagnosis/ Discussion/ Treatment/ Follow Up The patient had laparoscopic appendectomy and the appendix specimen was sent for histology analysis. Histology revealed an inflamed appendix with focal mucosal ulceration in keeping with complicated appendicitis. Sonograms Longitudinal section of the inflamed appendix in the RIF Transverse section of the inflamed appendix in the RIF Power Doppler imaging showing evidence of vascularity within the wall of the inflamed appendix Power Doppler imaging 2 A tiny calcific focus within the inflamed appendix, suggestive of an appendicolith Acute Complicated Appendicitis in a 31-year Old Male - Previous Complicated Appendicitis Next - Acute Complicated Appendicitis in a 31-year Old Male Perforated Appendicitis Published on: September 2, 2024
