PMC6796750_01
A) Abdominal ultrasound showing appendicular mass. B) Abdominal ultrasound showing fluid collection.
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A hypoechoic mass was seen at the right iliac fossa, measuring 4.9 cm x 4.2 cm, with fluid collection and an appendicular mass (Fig. 1).
CT scan showing a large complex lesion in the right iliac fossa displacing the bladder and bowel loops medially.
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The CT abdomen showed: 1) enlarged tubular structures in the right iliac fossa region, measuring 8 cm x 2.5 cm, related to the cecum; 2) suspected appendicular lesions; 3) free fluid collection; and 4) multiple enlarged mesenteric and right iliac lymph nodes (Fig. 2).
Post-operative abdominal X-ray showing multiple air fluid levels.
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An abdominal X-ray, which was ordered to be done on a daily basis, showed multiple air fluid levels, indicating intestinal obstruction (Fig. 3).