File:Abdominal tuberculosis and appendicitis (Radiopaedia 65631-74735 Axial C+ portal venous phase 24).png

Summary:

• Radiopaedia case ID: 65631
• Image ID: 45590360
• Image stack position: 24/75
• Plane projection: Axial
• Aux modality: C+ portal venous phase
• Study description: CT Abdomen
• Modality: CT
• System: Gastrointestinal
• Findings: The terminal ileum appears diffusely abnormal with dilatation, prominent wall thickening and wall enhancement. No evidence of bowel obstruction. There are multiple ring-enhancing lesions with central low attenuation measuring up to 9.2cm x 2.5 cm (axial plane) within the central mesentery extending into the right iliac fossa, suggestive of the presence of multiple necrotic lymph nodes. Mildly enlarged inguinal lymph nodes bilaterally. The appendix is dilated (measuring up to 12 mm) and lies within the right paracolic gutter with its tip abutting the inferior border of the right liver lobe. The appendix has fat stranding and demonstrates prominent wall enhancement. No appendicolith noted, nor periappendiceal collection. Conclusion: Features are of acute appendicitis.The low-density lymph nodes raise the possibility of intra-abdominal and pelvic tuberculous disease.
• Published: 24th Feb 2019
• Source: https://radiopaedia.org/cases/abdominal-tuberculosis-and-appendicitis
• Author: Sachin Phakey
• Permission: http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

CC-BY-NC-SA-3.0