case_images: PMC10766585_01
case_images: Ultrasound images showed a large pus-filled (arrowhead) appendix with a thin internal echogenic structure (arrow) extending outward from the muscle layer with surrounding fat infiltration (asterisk).
case_images: rjad694f1.jpg
case_images: PMC10766585_01_rjad694f1.jpg
case_images: f1
case_images: Abdominal ultrasonography showed a large pus-filled appendix with an internal thin echogenic structure extending outward from the muscle layer and fatty infiltrates in the right iliac fossa (Fig. 1).
case_images: CT images showed a dilated appendix (maximum diameter 15.5 mm) with thickened and hyperenhancing wall. A small amount of free fluid and fat stranding was seen in the right iliac fossa. There was a linear hyperdensity measuring 13 mm (arrows) perforating and extending slightly beyond the appendix. No abscess or free gas collection was detected.
case_images: rjad694f2.jpg
case_images: PMC10766585_01_rjad694f2.jpg
case_images: f2
case_images: CT scan performed then confirmed perforated appendicitis caused by a foreign body (Fig. 2).
case_images: Photograph of the surgical specimen showed appendicitis due to fish bone (circles).
case_images: rjad694f3.jpg
case_images: PMC10766585_01_rjad694f3.jpg
case_images: f3
case_images: The postoperative diagnosis was perforated appendicitis caused by fishbone (Fig. 3).