Acute appendicitis

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

An adult female complains of right iliac fossa pain for 2 days.

Patient Data

Age: 26 years
Gender: Female
Modality: Ultrasound

Abdominal ultrasound shows an elongated aperistaltic tubular cystic structure at the right iliac fossa. It lies near to the caecum. It measures 9 mm in outer to outer diameter. It shows an increased wall vascularity within with a rim of fluid is seen on the Douglas pouch.

Case Discussion

A clinically suspected appendicitis based on right iliac fossa pain and positive rebound. WBCS was 17000. An abdominal ultrasound shows an elongated tubular cystic structure at the right iliac fossa. It lies near to the caecum. It measures 9 mm in outer to outer diameter. An inflamed appendix was demonstrated on surgery with inflammation and reactions extending into the adjacent fat and small bowel. Acute appendicitis was proved later pathologically.

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Case Information

rID: 32260
Case created: 21st Nov 2014
Last edited: 27th Nov 2015
Inclusion in quiz mode: Included

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