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Abdomen and retroperitoneum | 1.5 Appendix
Case 1.5.3 Complicated appendicitis


Inflamed mesoappendix:
Appendicitis with a 1,5 cm thick appendix. At operation the appendix could not be removed because of severe surrounding inflammatory changes ...
Inflamed mesoappendix:
Appendicitis with an ileitis, infiltrate and enlarged mesenteric lymph nodes
Inflamed mesoappendix:
Acute appendicitis with a thickened turned up retrocecal appendix with an appendicolith and an ill defined wall and inflamed mesoappendix
Perforation:
Perforated appendicitis with a large defect in the wall of the appendix
Perforation:
Perforated appendicitis with inflamed mesenteric fat
Perforation:
Perforated appendicitis with air outside the appendix
Perforation:
Perforated appendicitis with pus and air in the peritoneal cavity
Perforation:
Appendicitis with a perforated appendix and effusion next to the appendix
Perforation:
Perforated appendicitis with a defect in the appendix wall and effusion
Perforation:
Acute appendicitis with a perforated appendix with air bubbles in the appendix wall and in the peritoneal cavity
Perforation:
Acute appendicitis and appendiceal perforation with ill defined tip of the appendix and periappendicular fluid around the tip
Perforation:
Appendicitis with perforation at the tip and mucosal swelling at the base of the appendix mimicking a small intussusception. (At operation a ...
Perforation:
Perforated appendix with a fluid filled defect in the posterior part of the appendix
Perforation:
Acute appendicitis with a thickened appendix (*1) with an appendicolith (*2) surrounded by a hypoechoic mass representing a phlegmon and flu ...
Case of the month August 2015: Perforation:
Perforated inflamed appendix and cecitis
Case of the month May 2014: Perforation:
Perforated appendix with its tip at the right liver lobe
Perforation:
Perforated acute appendicitis with infiltration of the abdominal wall
Abscess:
Acute appendicitis and appendiceal perforation with a hypoechoic mass at the tip representing a small abscess at the tip
Abscess:
Acute appendicitis (*1) and appendiceal perforation with a hypoechoic mass with airbubbles representing a small abscess at the tip (*2)
Abscess:
Appendicitis with an infiltrate and abscess formation at the tip
Abscess:
Acute appendicitis with a thickened appendix (*1) and a hypoechoic mass with air representing an abscess (*2)
Abscess:
Appendicular abscess filled with pus and air in a 10 year old boy
Abscess:
Appendicitis and periappendicular abscess
Abscess:
Acute appendicitis with a thickened appendix (*1) and an abscess (*2) and small bowel dilatation
Abscess:
Acute perforated appendicitis with a thickened appendix with a phlebolith and a hypoechoic abscess
Abscess:
Appendicitis with perforation. Pus in the paracolic gutter and in Douglas pouch and debris filled bladder.
Abscess:
Acute appendicitis with a thickened appendix and an abscess in Douglas' pouch
Abscess:
Appendicitis with an infiltrate with multiple puspockets (abscesses)
Abscess:
Appendicitis with infiltration of the bladder roof and a small abscess
Ileus:
Perforated appendicitis with pus in the peritoneal cavity and ileus with dilatated bowel loops
Other complications:
Acute appendicitis with a thickened turned up retrocecal appendix inflamed mesoappendix and a perinephritis with perirenal fluid
Pitfalls:
Pitfall: Thick (7mm) but normal appendix with effusion not caused by a perforated appendix but a pancreatitis
Pitfalls:
Patient with pain in the right lower abdomen that could be mistaken for an ileocecitis
Pitfalls:
Cecal wall thickening in a patient with appendicitis
Inflamed mesoappendix:
Appendicitis with a 1,5 cm thick appendix. At operation the appendix could not be removed because of severe surrounding inflammatory changes ...
Inflamed mesoappendix:
Appendicitis with an ileitis, infiltrate and enlarged mesenteric lymph nodes
Inflamed mesoappendix:
Acute appendicitis with a thickened turned up retrocecal appendix with an appendicolith and an ill defined wall and inflamed mesoappendix
Perforation:
Perforated appendicitis with a large defect in the wall of the appendix
Perforation:
Perforated appendicitis with inflamed mesenteric fat
Perforation:
Perforated appendicitis with air outside the appendix
Perforation:
Perforated appendicitis with pus and air in the peritoneal cavity
Perforation:
Appendicitis with a perforated appendix and effusion next to the appendix
Perforation:
Perforated appendicitis with a defect in the appendix wall and effusion
Perforation:
Acute appendicitis with a perforated appendix with air bubbles in the appendix wall and in the peritoneal cavity
Perforation:
Acute appendicitis and appendiceal perforation with ill defined tip of the appendix and periappendicular fluid around the tip
Perforation:
Appendicitis with perforation at the tip and mucosal swelling at the base of the appendix mimicking a small intussusception. (At operation a ...
Perforation:
Perforated appendix with a fluid filled defect in the posterior part of the appendix
Perforation:
Acute appendicitis with a thickened appendix (*1) with an appendicolith (*2) surrounded by a hypoechoic mass representing a phlegmon and flu ...
Case of the month August 2015: Perforation:
Perforated inflamed appendix and cecitis
Case of the month May 2014: Perforation:
Perforated appendix with its tip at the right liver lobe
Perforation:
Perforated acute appendicitis with infiltration of the abdominal wall
Abscess:
Acute appendicitis and appendiceal perforation with a hypoechoic mass at the tip representing a small abscess at the tip
Abscess:
Acute appendicitis (*1) and appendiceal perforation with a hypoechoic mass with airbubbles representing a small abscess at the tip (*2)
Abscess:
Appendicitis with an infiltrate and abscess formation at the tip
Abscess:
Acute appendicitis with a thickened appendix (*1) and a hypoechoic mass with air representing an abscess (*2)
Abscess:
Appendicular abscess filled with pus and air in a 10 year old boy
Abscess:
Appendicitis and periappendicular abscess
Abscess:
Acute appendicitis with a thickened appendix (*1) and an abscess (*2) and small bowel dilatation
Abscess:
Acute perforated appendicitis with a thickened appendix with a phlebolith and a hypoechoic abscess
Abscess:
Appendicitis with perforation. Pus in the paracolic gutter and in Douglas pouch and debris filled bladder.
Abscess:
Acute appendicitis with a thickened appendix and an abscess in Douglas' pouch
Abscess:
Appendicitis with an infiltrate with multiple puspockets (abscesses)
Abscess:
Appendicitis with infiltration of the bladder roof and a small abscess
Ileus:
Perforated appendicitis with pus in the peritoneal cavity and ileus with dilatated bowel loops
Other complications:
Acute appendicitis with a thickened turned up retrocecal appendix inflamed mesoappendix and a perinephritis with perirenal fluid
Pitfalls:
Pitfall: Thick (7mm) but normal appendix with effusion not caused by a perforated appendix but a pancreatitis
Pitfalls:
Patient with pain in the right lower abdomen that could be mistaken for an ileocecitis
Pitfalls:
Cecal wall thickening in a patient with appendicitis
Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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