Case of the Month June, 2010

Submitted by Jason Merchant, MD and Mamata Chithriki, MD.

History

 31 year old male with worsening abdominal pain for two days, now localized within the right lower quadrant.  Past medical history is unremarkable.

Shown below are selected CT images through the pelvis with intravenous and rectal contrast:

CT With Contrast:

 

 

 

Question

What is the salient abnormality?

  1. Wall thickening of the ascending colon

  2. Free intraperitoneal air

  3. Halo of mesenteric fat stranding

  4. Thickened, fluid-filled appendix

  5. Thickened loops of small bowel 

  

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