Q.1.6 Appendicular abscess

  • Specimen of an appendicular mass of a 13 yr old female who presented with pain in the right ileac fossa for 4 days duration.
  • On examination – RIF tenderness +
  • Specimen of an appendix with a mass around the tip of the appendix.
  • Outer surface of the appendix shows enlarged serosal blood vessels and an area of haemorrhages.
  • Fatty tissue is seen to encompass the tip of the appendix.
  • Cut section:-

The lumen of the appendix is blocked by yellow crumbly material (probably pus).

  • The wall is extremely thinned out and necrotic.
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