Acute appendicitis

Case contributed by Dr Matthew Lukies

Presentation

Two day history of worsening right iliac fossa pain.

Patient Data

Age: 20 years
Gender: Female
Ultrasound

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

Case Discussion

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.

PlayAdd to Share

Case information

rID: 51979
Published: 16th Mar 2017
Last edited: 22nd Nov 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.