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Insights into Imaging
Fig. 4 | Insights into Imaging

Fig. 4

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

Fig. 4

A 22-year-old female with abdominal pain and the clinical finding of peritonitis 3 days after LA for AA. Unenhanced MDCT (a) shows thickened peritoneal serosa (arrows) abutting the thickened caecum and at least one dependent calcific focus in the right paracolic gutter (arrowhead) consistent with a dropped appendicolith. In a different patient, a 26-year-old female with fever, vomiting, leukocytosis (13,000 cells/mmc) and elevated acute-phase reactants (230 mg/l) 9 days after LA for acute uncomplicated AA, multiplanar contrast-enhanced MDCT images (b…d) reveal hyperenhancing peritoneum (thin arrows) in the right parietocolic gutter and iliac fossa (b, c) abutting the thickened oedematous caecum (*), moderate effusion (+) and thickened serosa in the pelvic cul-de-sac (d). Intensive in-hospital antibiotic treatment allowed regression of the clinical and laboratory features, interpreted as postoperative infection without abscess

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