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Case #38

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Demographics: 4 years old, Male
Indication: Lower abdominal pain, fever

Case #38

Findings

Lower chest

  • No acute findings

Abdomen/Pelvis

  • Dilated appendix, measuring up to 8 mm in diameter, with mural hyperenhancement and focal mural discontinuity near the appendiceal tip
  • Surrounding small fluid collection
  • No definite pneumoperitoneum

MSK

  • No acute findings

Diagnosis

Acute perforated appendicitis

Sample Report

Findings concerning for acute perforated appendicitis with a small periappendiceal collection concerning for developing abscess.

Discussion

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