52 years old female patient presented with acute onset of severe right-sided abdominal pain associated with nausea, vomiting and one episode of diarrhoea. This was preceded by similar episodes of pain over a 3-week period. On examination the patient had a palpable right iliac fossa mass. Plain film of the abdomen showed a paucity of bowel gas in the right side of the abdomen with an impression of a soft tissue mass in this area.
Abdominal USS and Contrast enhanced CT scan of the abdomen were performed.


What is the most likely diagnosis?

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14 comments

  1. Anonymous Says:
  2. Chronic perforated appendix?

     
  3. Ruptured ectopic pregnancy

     
  4. Chronic Perforated Appendix is the correct diagnosis for three reasons:

    1)Patient is 52 years old(The probability of pregnancy is very low).

    2)The CT/Scan shows a paucity of bowel GAS in the abdominal right side.

    3)The appendix is most often localited at The RIGHT ILLIAC FOSSA.

     
  5. Anonymous Says:
  6. I agree perforated chronic appendicitis!

     
  7. Anonymous Says:
  8. polycystic kidney?

     
  9. Anonymous Says:
  10. Appendicular mass

     
  11. Anonymous Says:
  12. chronic app or appendicular mass

     
  13. Anonymous Says:
  14. Rupture of right ovarian cyst?

     
  15. Anonymous Says:
  16. I think intestinsal intussusception leading to acute intestinal obstruction or intestinal cancer

     
  17. Anonymous Says:
  18. i think its a appendicular abcess

     
  19. Anonymous Says:
  20. ابندكيولار ماس

     
  21. Anonymous Says:
  22. appendiclar mass

     
  23. earthshaker Says:
  24. Appendicular abscess

     
  25. it's either appendicular mass/diverticulosis/twisted ovarian cyst.

     

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