PMC8604594_01
Initial computed tomography (CT) of the abdomen and pelvis with small bowel enteritis and fluid collections in paracolic gutters.
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fig1
Abdominal and pelvic computed tomography (CT) with contrast showed signs of small bowel enteritis (Figure 1).
Repeat computed tomography (CT) of the abdomen and pelvis with new peritoneal enhancement suggestive of peritonitis.
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CT of the abdomen and pelvis with contrast and surgical reconsultation were recommended. CT illustrated worsening moderate ascites without free air, but with new peritoneal enhancement, suggestive of peritonitis (Figure 2), along with the concern for small bowel obstruction (SBO) in the left lower abdominal quadrant.
Histopathology of appendiceal diverticulitis in the portion of the remaining viable appendix.
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fig3
Histopathology showed acute suppurative appendicitis and periappendicitis with multiple small diverticula along the length of the remaining viable appendix, supporting the likely perforation of one or more diverticula secondary to acute inflammation with subsequent abscess formation and abdominal peritonitis (Figure 3).