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Acute Appendicitis – Phlegmon

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0:01

So generally in acute appendicitis,

0:02

the treatment is to go to surgery.

0:04

However, sometimes it can present with

0:06

complications, so it's always important

0:08

for the radiologist to look for this

0:09

and to note it in their reports.

0:11

In this case, as we're following the colon

0:13

down, there's a little bit of motion, as you

0:15

can see here, and right where that appendix

0:19

should be, you can see it coming off.

0:21

The cecum right around here into this

0:24

thickening and inflammatory process right here.

0:27

But now we see a process here with sort of ill-

0:29

defined walls and a few locules of free air.

0:32

It's a developing collection.

0:34

or inflammatory mass.

0:35

At this point, it's not an abscess.

0:37

It doesn't have drain or it

0:38

doesn't have thickened walls.

0:40

It's just kind of this phlegmon,

0:42

inflammatory type mass.

0:43

If you put Hounsfield units on it, they

0:46

should be greater than 20 at this point.

0:48

It's not yet a formed fluid collection.

0:50

Thanks again.

Report

Faculty

Kathryn McGillen, MD

Assistant Professor of Radiology, Medical Director of Ultrasound

Penn State University Milton S Hershey Medical Center

Tags

Infectious

Gastrointestinal (GI)

CT

Body

Appendix

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