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Intestinal stricturing as a late presentation of appendiceal abscess
1Department of Radiology, John Radcliffe Hospital, Headington, Oxford, UK.
Clinical Radiology
|September 1, 1995
Summary
Atypical appendix abscesses can lead to intestinal obstruction from chronic inflammation. This can cause strictures in the ileum or sigmoid colon, requiring advanced imaging for diagnosis.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Appendix abscesses typically present with acute abdominal pain.
- Chronic inflammation from appendiceal origin is an uncommon cause of intestinal strictures.
Observation:
- Two patients presented with atypical appendix abscesses.
- Both patients later developed obstructive symptoms.
Findings:
- One patient had an ileal stricture identified via enteroclysis.
- The other patient exhibited sigmoid stricturing visualized by double contrast barium enema.
Implications:
- This highlights the importance of considering appendiceal pathology in unusual intestinal strictures.
- Advanced imaging modalities are crucial for diagnosing these rare complications.
- Early recognition may prevent severe obstructive symptoms.