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Acute Appendicitis – No Surgery Needed

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So this is our same patient a few months

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later getting a follow-up CT scan.

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Again, as we follow her colon down,

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you see a little bit of inflammation in

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the fat right here, but significantly

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better than it was previously.

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See a few little lymph nodes here.

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As we follow down right here, that's her normal

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appendix coming off of her cecum right here.

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Normal size, no longer enhancing, not

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thick-walled, has a few foci of gas in it.

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As we scroll down, her collections

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are completely gone, maybe a little

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bit of thickening here in the

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fascia, but that's all that's left.

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So in some cases, if you drain these

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percutaneously, you can see her scar right

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here from one of the drainage catheters,

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the patient may not even need surgery.

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They can just get by with

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their percutaneous drains.

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Once they are pulled, they may not

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even need to get the appendix removed.

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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