case_images: PMC4629302_01
case_images: 86-year-old female with fever and tender swelling in the groin caused by a periappendicular abscess and diagnosed with appendicitis within an inguinal hernia. Axial computed tomography (CT) image of the pelvis shows multilocular fluid collection (*) and gas bubble within a right inguinal hernia. The 8-mm thick appendix (arrow) is seen laterally.
case_images: JCIS-5-54-g002.jpg
case_images: PMC4629302_01_JCIS-5-54-g002.jpg
case_images: F1
case_images: The examination showed fluid collection within the right inguinal hernia; in addition, a thickened appendix was identified within the hernia sac [Figure 1].
case_images: 86-year-old female with fever and tender swelling in the groin caused by a periappendicular abscess and diagnosed with appendicitis within an inguinal hernia. Axial CT images of the pelvis taken in 2008 and 2010 are presented. (a) The 2008 study shows a contrast-filled appendix in its long axis (arrow). (b) The 2010 scan shows the gas-filled appendix in its short axis (arrow).
case_images: JCIS-5-54-g003.jpg
case_images: PMC4629302_01_JCIS-5-54-g003.jpg
case_images: F2
case_images: On review of the patient's past imaging studies, two CTs of the abdomen from 2008 and 2010 showed the right inguinal hernia containing a normal appendix [Figure 2], a finding included in the CT report; the appendix could be traced on reformatted images to its origin from the cecum [Figure 3].
case_images: 86-year-old female with fever and tender swelling in the groin caused by a periappendicular abscess and diagnosed with appendicitis within an inguinal hernia Curved-plane reconstruction of the right groin from the 2008 CT study in Figure 2a shows the appendix (arrows) originating from the base of the contrast-filled cecum (*), extending caudally into the hernia sac.
case_images: JCIS-5-54-g004.jpg
case_images: PMC4629302_01_JCIS-5-54-g004.jpg
case_images: F3
case_images: On review of the patient's past imaging studies, two CTs of the abdomen from 2008 and 2010 showed the right inguinal hernia containing a normal appendix [Figure 2], a finding included in the CT report; the appendix could be traced on reformatted images to its origin from the cecum [Figure 3].