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Maximum intensity projection aids in diagnosing acute appendicitis and mobile caecum: A case report and literature
Kakia A F Namugenyi1, Ferdinand M Oompie2, Kasandji F Kabambi1
1Department of Surgery, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa.
Abstract:
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.
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