Two day history of worsening right iliac fossa pain.
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Aperistaltic, non-compressible, dilated vermiform appendix is seen in the right lower fossa measuring 9 mm in diameter, with hyperemia and surrounding hyperechoic fat.
'Target" appearance of the appendix on axial plane.
Tenderness on ultrasound probe palpation of the vermiform appendix.
Normal-sized and non-tender bilateral ovaries on trans-abdominal scanning
The findings are consistent with acute appendicitis.
The patient proceeded to laparoscopic appendectomy and the diagnosis of acute appendicitis was confirmed on subsequent histopathology, with focal mucosal ulceration and transmural acute inflammation.