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SA Journal of Radiology

On-line version ISSN 2078-6778
Print version ISSN 1027-202X

Abstract

NAMUGENYI, Kakia A.F.; OOMPIE, Ferdinand M.  and  KABAMBI, Kasandji F.. Maximum intensity projection aids in diagnosing acute appendicitis and mobile caecum: A case report and literature review. S. Afr. J. radiol. (Online) [online]. 2021, vol.25, n.1, pp.1-4. ISSN 2078-6778.  http://dx.doi.org/10.4102/sajr.v25i1.2153.

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.

Keywords : maximum intensity projection; multi detector computed tomography; childhood; acute appendicitis; mobile caecum.

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