Namugenyi Kakia A F, Oompie Ferdinand M, Kabambi Kasandji F
Department of Surgery, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa.
Department of Radiology, Nelson Mandela Academic Hospital, Mthatha, South Africa.
SA J Radiol. 2021 Jul 28;25(1):2153. doi: 10.4102/sajr.v25i1.2153. eCollection 2021.
Appendicitis is a common childhood condition requiring surgical intervention and delayed diagnosis can have serious consequences. This report describes the case of a child who presented with an acute abdomen and intestinal obstruction. Multidetector (MD) CT demonstrated a left-sided caecum and an inflamed appendix with a faecolith. Maximum intensity projection (MIP) post-processing was key in identifying the appendicular artery and determine the diagnosis. At surgery, however, a mobile caecum and the appendix were positioned on the right side.
阑尾炎是一种常见的儿童疾病，需要手术干预，延迟诊断可能会产生严重后果。本报告描述了一名出现急腹症和肠梗阻的儿童病例。多排螺旋（MD）CT显示盲肠位于左侧，阑尾发炎并伴有粪石。最大密度投影（MIP）后处理对于识别阑尾动脉和确定诊断至关重要。然而，手术时发现活动盲肠和阑尾位于右侧。
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