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Acute appendicitis - detected on transvaginal ultrasound

Case contributed by: Dr Chris O'Donnell

Presentation:

PH ruptured ovarian cyst. Severe right lower abdominal pain

Patient Data:

Age: 35
Gender: Female
From the case: Acute appendicitis - detected on transvaginal ultrasound

Transabdominal US of pelvis including RIF normal, therefore transvaginal imaging performed

Modality: Ultrasound

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  • Right adnexal tender, fluid-filled, blind-ending tubular mass with surrounding free fluid
Right adnexal tender, fluid-filled, blind-ending tubular mass with surrounding free fluid

Despite this being a transvaginal examination, appearances are all consistent with acute appendictis.  Differential diagnosis is acute salpingitis but tubular structure is blind ending and not associated with the ovary

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