11 y/o girl with abdominal pain, nausea and vomiting
abdomen all ct appendix
11 y/o girl with abdominal pain, nausea and vomiting for two days. White Blood Cell count: 16,000
An appendicolith is identified in the proximal appendix with a fluid-filled distal appendix and free fluid in the cul-de-sac. A thickened and enhancing wall to the appendix is noted. The diameter exceeds 1 cm and there is stranding in the adjacent fat.
Appendicolith with acute appendicitis
The peak incidence of acute appendicitis is in the late childhood and adolescence. Clinical findings include generalized abdominal pain that later localized to the right lower quadrant, fever, loss of appetite and nausea. CT findings may include an enlarged appendix >7 mm diameter; an appendicolith; a thick, enhancing appendiceal wall; deformity or thickening of the apex of the cecum and stranding in the adjacent mesenteric fat. Peritoneal fluid may also be seen.