{"id":1037,"date":"2025-07-29T09:24:35","date_gmt":"2025-07-29T06:24:35","guid":{"rendered":"https:\/\/drnasrinzangana.medspire.net\/?post_type=cases&#038;p=1037"},"modified":"2025-07-29T09:41:50","modified_gmt":"2025-07-29T06:41:50","slug":"ruptured-viscus-appendix","status":"publish","type":"cases","link":"https:\/\/drnasrinzangana.medspire.net\/ar\/cases\/ruptured-viscus-appendix\/","title":{"rendered":"Ruptured Viscus\u00a0Appendix"},"content":{"rendered":"<p>Right iliac fossa presence of Blind loop small bowel mass 39x16mm\u00a0 (Appendicitis ?)\u00a0<strong>,\u00a0 associated with heterogenous mass 112x53mm , in the right sided sub-hepatic region, also associated with dilated bowel loop\u00a0 26mm (ilieus?) &amp; free intrabdominal fluid &gt;100cc , picture mostly of\u00a0 ruptured viscus\u00a0 appendix ? with its sequel ?? , please for further study\u00a0<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"766\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-1-19-1024x766.jpg\" alt=\"\" class=\"wp-image-1038\" style=\"width:360px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-1-19-1024x766.jpg 1024w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-1-19-300x225.jpg 300w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-1-19-768x575.jpg 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-1-19-16x12.jpg 16w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-1-19.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"766\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-2-10-1024x766.jpg\" alt=\"\" class=\"wp-image-1039\" style=\"width:369px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-2-10-1024x766.jpg 1024w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-2-10-300x225.jpg 300w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-2-10-768x575.jpg 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-2-10-16x12.jpg 16w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-2-10.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-19-1024x768.jpg\" alt=\"\" class=\"wp-image-1040\" style=\"width:374px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-19-1024x768.jpg 1024w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-19-300x225.jpg 300w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-19-768x576.jpg 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-19-16x12.jpg 16w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/download-19.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>Abdominal CT With IV Contrast<\/strong><\/p>\n\n\n\n<p>Clinical data: Appendicular mass.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Evidence of 9 X 8 X 4cm Rt abdominal collection from Rt subhepatic region to RIF, contains fluid and gas, suggestive of an abscess, mostly from perforated appendix.&nbsp;<\/li>\n\n\n\n<li>Appendix shows diffuse wall thickening, diameter 11mm, with 2.5 X 2.5cm heterogeneously enhanced part in its tip which is in lower part of above mentioned collection, contains few calcifications, which raise suspicion of mucinous tumor.&nbsp;<\/li>\n\n\n\n<li>Marked inflammation in Rt subhepatic, paracolic gutter, which is surrounding cecum and ascending colon.&nbsp;<\/li>\n\n\n\n<li>Mild ascites.<\/li>\n\n\n\n<li>Several mesenteric LNs, mostly inflammatory.&nbsp;<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"818\" height=\"812\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/1.png\" alt=\"\" class=\"wp-image-1081\" style=\"width:302px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/1.png 818w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/1-300x298.png 300w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/1-150x150.png 150w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/1-768x762.png 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/1-12x12.png 12w\" sizes=\"auto, (max-width: 818px) 100vw, 818px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"816\" height=\"810\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/2.png\" alt=\"\" class=\"wp-image-1082\" style=\"width:300px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/2.png 816w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/2-300x298.png 300w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/2-150x150.png 150w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/2-768x762.png 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/2-12x12.png 12w\" sizes=\"auto, (max-width: 816px) 100vw, 816px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"819\" height=\"809\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/3.png\" alt=\"\" class=\"wp-image-1083\" style=\"width:292px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/3.png 819w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/3-300x296.png 300w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/3-768x759.png 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/3-12x12.png 12w\" sizes=\"auto, (max-width: 819px) 100vw, 819px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"801\" height=\"822\" src=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/4.png\" alt=\"\" class=\"wp-image-1084\" style=\"width:286px;height:auto\" srcset=\"https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/4.png 801w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/4-292x300.png 292w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/4-768x788.png 768w, https:\/\/drnasrinzangana.medspire.net\/wp-content\/uploads\/2025\/07\/4-12x12.png 12w\" sizes=\"auto, (max-width: 801px) 100vw, 801px\" \/><\/figure>","protected":false},"author":2,"featured_media":0,"template":"","cases-category":[],"class_list":["post-1037","cases","type-cases","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ar\/wp-json\/wp\/v2\/cases\/1037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ar\/wp-json\/wp\/v2\/cases"}],"about":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ar\/wp-json\/wp\/v2\/types\/cases"}],"author":[{"embeddable":true,"href":"https:\/\/drnasrinzangana.medspire.net\/ar\/wp-json\/wp\/v2\/users\/2"}],"wp:attachment":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ar\/wp-json\/wp\/v2\/media?parent=1037"}],"wp:term":[{"taxonomy":"cases-category","embeddable":true,"href":"https:\/\/drnasrinzangana.medspire.net\/ar\/wp-json\/wp\/v2\/cases-category?post=1037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}