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Aggravated lymphoid hyperplasia mimicking barium-induced appendicitis
1Department of Radiology, Harran University School of Medicine, Sanliurfa, Turkey. drsemayildiz@yahoo.com
Emergency Radiology
|December 22, 2007
Summary
Barium appendicitis, though rare, can be associated with lymphoid hyperplasia. This case highlights a unique presentation requiring surgical intervention and pathological confirmation.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Barium appendicitis is a known complication.
- Association with lymphoid hyperplasia is not previously reported.
Observation:
- A 58-year-old woman presented with right lower quadrant pain.
- Initial barium enema showed no abnormalities.
- Readmission with appendicitis symptoms 15 days post-barium enema.
Findings:
- Plain abdominal radiograph revealed opacity overlying the right sacral ala.
- Pathological examination confirmed lymphoid hyperplasia.
- Diagnosis of barium-induced appendicitis was presumptive.
Implications:
- This case expands the understanding of barium appendicitis complications.
- Highlights the importance of considering barium retention in appendicitis diagnosis.
- Suggests potential link between barium contrast and lymphoid responses in the appendix.
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