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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.
Perforated appendicitis. ct. The appendix displays a thickened wall and a distended lumen, along with intraluminal and intramural gas foci and a focal wall defect indicating gangrenous perforated appendicitis. Regional peritoneal fat edema is noted along with minor free peritoneal fluid and few peritoneal gas foci. Incidental left adrenal nodule.
Right lower quadrant peritoneal/serosal thickening and enhancement, particularly the cecal base. Enlarged and irregular appendix, with a small appendicolith near the tip. Tiny dot of extraluminal air along the inferior appendix.
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.
2 lut 2023 · Aljabu E, Perforated appendicitis. Case study, Radiopaedia.org (Accessed on 06 Aug 2024) https://doi.org/10.53347/rID-161279
