PMC3971845_01
Abdominal computed tomography. Transverse (a) and coronal (b) views revealed invagination of the caecum and the appendix into the lumen of the ascending colon, as well as mural thickening and enhancement of the dilated appendix (9.7 mm) with a few appendicoliths.
CRIS2014-108327.001.jpg
PMC3971845_01_CRIS2014-108327.001.jpg
fig1
Mural thickening and enhancement of the dilated appendix up to 1 cm with a few appendicoliths in the invaginated large bowel were also noted (Figure 1).
Resected specimen showing a hard, mass-like lesion in the cecum base (white arrow: mass-like lesion; black arrow: ileocecal valve; white arrowhead: appendix).
CRIS2014-108327.002.jpg
PMC3971845_01_CRIS2014-108327.002.jpg
fig2
Although mural thickening around the appendix orifice was evident in the resected specimen (Figure 2), histological examination confirmed acute nonspecific suppurative inflammation in the appendix and cecum base.