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CT Identification of Abscesses After Dropped Appendicoliths During Laparoscopic Appendectomy

Newrhee Kim1, William P. Reed, Jr.2, Maher A. Abbas3 and Douglas S. Katz1

1 Department of Radiology, Winthrop-University Hospital, 259 First St., Mineola, NY, 11501.
2 Department of Surgery, Winthrop-University Hospital, Mineola, NY 11501.
3 Department of Surgery, Kaiser Permanente, 4760 Sunset Blvd., Los Angeles, CA 90027.



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  		Fig. 1A. —38-year-old man with acute appendicitis. Contrast-enhanced CT scan of pelvis shows two appendicoliths (arrows) near base of appendix, which is enlarged.

 


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  		Fig. 1B. —38-year-old man with acute appendicitis. Contrast-enhanced CT scan of pelvis obtained 17 days after appendectomy shows expected minimal postoperative changes around appendectomy clips near cecum (arrow).

 


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  		Fig. 1C. —38-year-old man with acute appendicitis. Contrast-enhanced CT scan of pelvis obtained at lower level than seen in B shows collection with wall enhancement (large arrows) consistent with abscesses and containing two calcifications representing "dropped" appendicoliths (small arrows) in more posterior collection.

 

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