File:Appendicitis complicated by post-operative collection (Radiopaedia 35595-37114 A 53).jpg

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Description	Radiopaedia case ID: 35595 Image ID: 12129548 Image stack position: 53/98 Plane projection: Axial Aux modality: C+ portal venous phase Study description: 8 days later Study findings: Appendectomy has been performed. Oral contrast has not passed beyond the stomach and there is distension of small bowel loops with fluid consistent with ileus. In the right iliac fossa, medial to the ileocecal junction and directly anterior to the appendectomy clips, there is a rounded fluid collection containing some antedependent gas with maximal dimensions of 4.5 x 5.7 x 4.5 cm (ML by AP by SI). There is the impression of collapsed bowel surrounding the anterior aspect of the fluid collection. A small volume of free fluid is seen within the pelvis. Modality: CT System: Gastrointestinal Findings: The appendix is markedly distended in the right side of the pelvis and there is surrounding inflammatory stranding and fluid within the rectovesical pouch. Appearance is in keeping with acute appendicitis. There is fecal loading of the large bowel. No diverticulitis.
Date	Published: 17th Apr 2015
Source	https://radiopaedia.org/cases/appendicitis-complicated-by-post-operative-collection
Author	Andrew Dixon
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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