title: Unusual perforated appendicitis within umbilical hernia: CT findings.
abstract: We present the first imaging report of perforated appendicitis in an umbilical hernia. Computed tomography demonstrated a gas-forming abscess within an umbilical hernia and the cecum was found inside the hernial sac, with an inner relation to the abscess. Computed tomographic findings suggested appendicitis as possible diagnosis, which was confirmed at surgery. Physicians must consider appendicitis within the differential diagnosis of an abdominal abscess located near to the cecum, even at an unexpected location.
authors.affiliation: Department of Radiology, Hospital Universitario Marqués de Valdecilla, Avenida de Valdecilla s.n., 39008 Santander, Spain. javierarnaiz@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Arnáiz
authors.forename: A
authors.initials: A
authors.lastname: Ortiz
authors.forename: E
authors.initials: E
authors.lastname: Marco de Lucas
authors.forename: T
authors.initials: T
authors.lastname: Piedra
authors.forename: J
authors.initials: J
authors.lastname: Jordá
authors.forename: A M
authors.initials: AM
authors.lastname: Arnáiz
authors.forename: M A
authors.initials: MA
authors.lastname: Pagola
mesh_terms: D001064:Appendicitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media