Case 314

Case 314

Medical history

Male patient, 16 years old, at the 2nd postoperative day (POD) after a video laparoscopic appendectomy, develops abdominal pain at the right hypogastric region, associated with fever, diarrhea, and hyporexia. CT scan of the abdomen and pelvis was performed.

Image 1: Non-contrast-enhanced Computed Tomography (CT) image of the abdomen and pelvis, axial view, at the L5-S1 vertebral level.

Image 2: Contrast-enhanced Computed Tomography (CT) image of the abdomen and pelvis, axial view, at the S3-S4 vertebral level, portal venous phase.

Image 3: Contrast-enhanced Computed Tomography (CT) image of the abdomen and pelvis, coronal reconstruction, portal venous phase.


Question:
Considering the clinical history and the CT findings, which one is the most likely diagnosis?

Test question

(Federal University of Goiás/UFG - MEDICAL RESIDENCY 2016 - Adapted)In acute appendicitis, the most accurate ultrasonographic finding is the presence of:

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