Acute appendicitis

Case contributed by Dr Maulik S Patel

Presentation

Pain in right lower abdomen since 3 days.

Patient Data

Age: 19 years
Gender: Male
Ultrasound

Normal proximal appendix is seen. Narrow transition from normal to abnormally dilated appendix is noted. No fecolith is seen at this point. Distal half of appendix is dilated. Fluid debris level is noted. Tip of appendix is directed to pelvis.

Acute appendicitis with dilated and oedematous appendiceal wall.

Case Discussion

Findings of acute appendicitis with fluid -debris level affecting distal half of appendix.

Surgery - Findings confirmed. Pus was present which was seen at fluid -debris level on US. No fecolith.

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Case information

rID: 13043
Case created: 21st Feb 2011
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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