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Insights into Imaging
Fig. 1 | Insights into Imaging

Fig. 1

From: Pictorial review of normal postoperative cross-sectional imaging findings and infectious complications following laparoscopic appendectomy

Fig. 1

In a 32-year-old male with clinical and laboratory features consistent with acute appendicitis (AA), preoperative contrast-enhanced MDCT (a) showed a small-sized abscess-like collection (*) abutting the distended appendix (arrow) with a moderately enhancing wall and perivisceral inflammatory stranding. Three days after laparoscopic appendectomy (LA) a repeated MDCT investigation was performed because of persistent fever, right lower quadrant pain and markedly increased C-reactive protein (384 mg/l). Scattered residual intraperitoneal gas bubbles (thin arrows in b), distended small bowel loops (arrowheads in b and c) with small air-fluid levels consistent with postoperative ileus, minimal stranding and hypervascularisation (+) of the pericaecal fat planes were seen, without intraabdominal abscesses. Note the drainage tube still in place. The patient recovered fully with intensive antibiotic treatment

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