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Fig. 3A. —20-year-old woman with right lower quadrant pain and fever 1 day after uncomplicated vaginal delivery. Ut = uterus. Axial MDCT scan obtained with IV and oral contrast agents shows gas- and fluid-filled structure (arrows) medial to cecum with surrounding fluid and inflammation. On this image, it is difficult to differentiate distended appendix with perforation from fluid-filled small bowel and to determine whether rounded high-attenuation structure (arrowhead) represented oral contrast material or appendicolith. Dome of postpartum uterus is identified at midline.