Acute appendicitis

Case contributed by RMH Core Conditions


RIF pain, non-migratory, LMP 3/52 ago.

Patient Data

Age: 23
Gender: Female


A blind diverticulum arises from the cecum, presumably the appendix. It is thick-walled (measuring up to 8mm), aperistaltic and hyperemic. Small volume of surrounding free fluid. The patient was maximally tender over this point. 

Case Discussion

This case demonstrates typical sonographic findings of acute appendicitis. The patient went to theater for an appendectomy and histology confirmed early acute appendicitis.

Undertaking the study may identify appendicitis and also allow for the assessment of other possible causes for symptoms (such as a ovarian cyst in females), but if the appendix is not visualized it does not exclude appendicitis.

It is important for radiology and clinical colleagues alike to understand that as with ultrasound for concerns over testicular torsion, absence of positive findings doesn't exclude appendicitis.

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Case information

rID: 26190
Published: 5th Dec 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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