The inside-out appendix

A 30-year-old woman with no notable medical history presented with 24-hour history of abdominal pain, nausea, and vomiting. She had been chronically constipated for which she had taken laxatives and had some loose stools on the day of admission. She had been afebrile. The physical examination was unremarkable except for lower abdominal tenderness. Laboratory works demonstrated no abnormalities. Computed tomographic imaging (Fig  1) of the abdomen revealed a blind-ending tubular filling defect (arrow) within the cecum, containing mesenteric fat and located inferior to the ileocecal valve (arrowhead).
Source: Surgery - Category: Surgery Authors: Source Type: research