Image Diagnosis: Appendicitis and Appendicolith



 

Gus M Garmel, MD, FACEP, FAAEM

Summer 2008 - Volume 12 Number 3

https://doi.org/10.7812/TPP/08-026

A patient presents to the Emergency Room with a two to three day history of right lower quadrant abdominal pain, worsening in intensity; low-grade fever; and tenderness to palpation over the right lower abdomen, slightly toward midline. Diagnostic images show:


 
  
fig1 Figure 1. Computed Tomography scan with oral and IV contrast demonstrates a large, distended tubular structure in the right lower abdomen consistent with an inflamed appendix.
fig2

Figure 2. (same patient) Computed Tomography scan identifies an appendicolith within the center of the enlarged appendix.
 

Given the clinical scenario, this provides radiographic proof of acute appendicitis.
 

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