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Chronic Inflammatory Appendiceal Conditions That Mimic Acute Appendicitis on Helical CT

Jaime L. Checkoff1, Richard J. Wechsler and Levon N. Nazarian

1 All authors: Department of Radiology, Suite 3390, Thomas Jefferson University Hospital, 111 S. 11th St, Philadelphia, PA 19107.



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  		Fig. 1. —45-year-old woman with right flank pain. Single-detector helical CT scan shows appendix (arrows) to be distended (11 mm). Note periappendiceal and pericecal fat infiltration. Pathology specimen showed mild chronic inflammation.

 


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  		Fig. 2. —36-year-old woman with right lower quadrant pain and tenderness. Single-detector helical CT scan shows appendix (arrow) to be distended (9 mm) and mass effect on cecum. Note periappendiceal and pericecal fat infiltration. Pathology specimen showed fibrous obliteration of tip of appendix.

 


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  		Fig. 3. —41-year-old man with right lower quadrant pain. Single-detector helical CT scan shows appendiceal wall (arrow) to be markedly thickened (outer diameter, 13 mm). Note surrounding fat infiltration. Right lower quadrant adenopathy was also present (not shown). Pathology specimen showed granulomatous appendicitis.

 


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  		Fig. 4. —61-year-old man with right lower quadrant pain. Single-detector helical CT scan shows thickened (11 mm) appendix (arrow). Note mild periappendiceal and pericecal fat infiltration. Pathology specimen showed lymphoid hyperplasia.

 

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