PMC5440354_01
Abdominal ultrasound is showing the appendix between the marks with peri-appendicular edema.
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The patient showed an abdominal ultrasound where free liquid in the right iliac fossa was seen, the cecal appendix measured 58 x 10 x 11 mm, was non-compressible, with peri-appendicular edema (see Fig. 1).
(A) Tip of the appendix. (b) Fistulous path and (C) fibrous formation around the appendix.
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The pathology report showed chronic fistulized appendicitis with transmural lymphoid infiltration (Fig. 2), the presence of sulfur granules compatible with actinomycosis (Fig. 3), and silver staining with filamentous bacilli dyed black (Fig. 4).
Silver staining showing filamentous bacilli dyed black (Warhin-Starry 100x).
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The pathology report showed chronic fistulized appendicitis with transmural lymphoid infiltration (Fig. 2), the presence of sulfur granules compatible with actinomycosis (Fig. 3), and silver staining with filamentous bacilli dyed black (Fig. 4).