MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The removed appendix thickened and covered by fibrinopuralent incrustation. A purulent exudate infiltrated all appendix layers; the destruction of mucosa membrane was evident. What is the most likely diagnosis?
A
Flegmonous-ulcerative appendicitis
B
Simple appendicitis
C
Suppurative appendicitis
D
Gangrenous appendicitis
Explanation: 

Detailed explanation-1: -There may be thickening of the cecal base or terminal ileum due to contiguous inflammation. Focal thickening of the cecal apex results in an arrowhead-shaped contrast collection in the cecum, which points to the occluded appendiceal lumen (arrowhead sign), a secondary sign of acute appendicitis [Figure 3].

Detailed explanation-2: -The appendix is markedly swollen. The serosa is hyperemic and covered by a fibrinous exudate. Compare the inflamed appendix to the adjacent segments of a normal appendix.

Detailed explanation-3: -Open Appendectomy The epidermis and dermis are then incised using a scalpel. Blunt dissection and electrocautery are used to dissect the external aponeurosis. The external aponeurosis is then exposed superolateral to inferomedial fashion along its fibers to expose the underlying internal oblique muscle.

There is 1 question to complete.