Thank you. My daughter is in a hospital in India. Her CT scan shows mild hepatosplenomegaly and mesentic lymphadenopathy with diffuse thickening of ileum. She has been on antibiotics in her IV and pain killers. Her condition has not changed in the past five or six hours. They are speaking about laproscopic surgery in eight or ten hours. The also have said they suspect appendicitis . Can you explain what might be going on please?
Hi, Thanks for writing in Chat Doctor. The CT findings point towards a chronic infection. Thickening of the ileum associated with abdominal pain is usually due to chronic infections such as TB or Crohn's disease.However, in India TB is more common. If the appendix is not seen on Ct it would be futile to remove the appendix. A good trial of conservative treatment accompanied by a proper reassessment will help rule out appendicitis. I hope this answers your quarry.