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Fig. 4. —21-year-old afebrile man with history of gastroesophageal reflux and dull right lower quadrant pain. He was suspected to have appendicitis. Contrast-enhanced CT scan shows inflammation of cecum (curved solid arrow) and terminal ileum (straight solid arrow) without evidence of appendicitis. Note pericolonic inflammatory changes (open arrow). CT findings are similar to typhlitis. Patient had eaten Chinese food before symptoms and Escherichia coli colitis developed.