Case courtesy : Dr.Cicy Kuncherian Welcare Hospital
Age: 56Yrs
Sex: Female
Complaints: Right iliac fossa pain.
Case study: Tubular cystic mass lesion with peripheral enhancing walls measuring approximately 5.2 x4.3 x5.6 cm (TR XAP x CC) is seen in the right iliac fossa showing thick curvilinear mural calcification and central fluid density. No intraluminal air pockets noted.
The lesion is closely adherent towards the adjacent bowel loops causing bowel wall thickening of terminal ileum and cecum and adjacent fat stranding . Appendix not separately visualized from the mass lesion. Few prominent mesenteric lymph nodes are noted in right iliac fossa and paraumbilical region.
Small wall defect noted in the inferior aspect of the lesion with tubular extension measuring 14 x12mm extending into the right adnexa . Right ovary not separately
Images:
Conclusion : Tubular cystic mass lesion with curvilinear mural calcification in right iliac fossa with adjacent bowel wall thickening and fat stranding -features are in favor of Appendiceal Mucocele with contained perforation. Suggested lab correlation.