Atypical Clinical Presentation: Retrocecal Appendix
16 year old girl with focal pain, right lower quadrant tenderness, and fever for two days. A CT examination was obtained to evaluate for appendicitis, shown below.
|An axial CT image in the upper pelvis shows edema of the cecal wall which, along with barium in the cecum (C), contributes to the "arrowhead sign" of appendicitis. A dilated fluid filled appendix (large arrow) is seen with adjacent stranding of retroperitoneal fat (arrowheads). The appendix follows a retrocecal course (small arrows).|
|At surgery a nonperforated inflamed appendix was removed.|
Return to Atypical Clinical Presentation (A)