Ruptured Viscus Appendix

Right iliac fossa presence of Blind loop small bowel mass 39x16mm  (Appendicitis ?) ,  associated with heterogenous mass 112x53mm , in the right sided sub-hepatic region, also associated with dilated bowel loop  26mm (ilieus?) & free intrabdominal fluid >100cc , picture mostly of  ruptured viscus  appendix ? with its sequel ?? , please for further study 

Abdominal CT With IV Contrast

Clinical data: Appendicular mass. 

  • 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. 
  • 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. 
  • Marked inflammation in Rt subhepatic, paracolic gutter, which is surrounding cecum and ascending colon. 
  • Mild ascites.
  • Several mesenteric LNs, mostly inflammatory. 
EN