Case Report

Maximum intensity projection aids in diagnosing acute appendicitis and mobile caecum: A case report and literature review

Kakia A.F. Namugenyi, Ferdinand M. Oompie, Kasandji F. Kabambi
South African Journal of Radiology | Vol 25, No 1 | a2153 | DOI: https://doi.org/10.4102/sajr.v25i1.2153 | © 2021 Kakia A.F. Namugenyi, Ferdinand M. Oompie, Kasandji F. Kabambi | This work is licensed under CC Attribution 4.0
Submitted: 18 March 2021 | Published: 28 July 2021

About the author(s)

Kakia A.F. Namugenyi, Department of Surgery, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa
Ferdinand M. Oompie, Department of Radiology, Nelson Mandela Academic Hospital, Mthatha, South Africa
Kasandji F. Kabambi, Department of Surgery, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa


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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.

Keywords

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

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