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21 paź 2024 · A perforated appendix is one of the complications of acute appendicitis. When appendicitis is left untreated, necrosis (gangrene) of the appendiceal wall can occur and progress to a focal rupture.
Non-compressible, dilated appendix containing appendicolith. Thickened wall with blurred appearance resulting in loss of normal stratification. Echogenic, non-compressible pericaecal and periappendiceal fat.
Presentation. Abdominal pain for 3 days, right lower quadrant tenderness. Febrile with neutrophilic leucocytosis. Patient Data. Age: 60 years. Gender: Male. x-ray. Right subphrenic air. ct. Axial. non-contrast. Coronal. non-contrast. The appendix is enlarged measuring approximately 15 mm in diameter, thick-walled with inadequate wall integrity.
If appendicitis is allowed to progress, portions of the appendiceal wall eventually become ischemic or necrotic [1, 59] and the appendix perforates. On CT, perforation is suggested by the presence of localized periappendiceal inflammation, although this is a nonspecific finding.
The vermiform, edematous appendix markedly lengthens with its distal tip extrinsically abutting the right lower renal pole region. No appendicoliths or fecoliths or gross lymphadenopathy. Mild right iliac fossa free fluid is noted accompanied wit...
10 sty 2016 · Abscess and extraluminal air are the most specific findings for perforated appendicitis, but have low sensitivity. Periappendiceal inflammatory stranding and focal defect in the enhancing appendiceal wall are more sensitive, but less specific.
Walizai T, Perforated appendix. Case study, Radiopaedia.org (Accessed on 26 Jun 2024) https://doi.org/10.53347/rID-183440
