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History History: M/25. Diffuse abdominal pain and fever. Figure 1: Noncontrast CT abdomen : A small calcified focus is seen in the lower abdomen. Sigmoid colon is distended with fluid. Figure 2 and Figure 3: Contrast CT abdomen : There is a collection in the right iliac region anterior to iliac vessels. Peritoneal enhancement is noted at the flank . Extensive stranding is present in the mesentry of sigmoid colon. DIFFERENTIAL DIAGNOSIS : Perforated appendicitis with appendicolith. PREVIOUS CASES HOME COMMENTS

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