Acute appendicitis

Case contributed by Dr Khalid Alhusseiny

Presentation

Generalized abdominal pain with tenderness and rebound tenderness at the right iliac fossa.

Patient Data

Age: 15 years
Gender: Male

There is a blind-ending, non-compressible tubular structure seen at the right iliac fossa representing the enlarged vermiform appendix. It was tender on probing.

There is an echogenic structure seen at the base of the appendix associated with acoustic shadowing representing an appendicolith.

There is increased echogenicity of the fat surrounding the appendix.

The lumen of the appendix is distended with diffuse internal echos that could represent the accumulation of secretion/mucin or pus.

Case Discussion

The sonographic findings are keeping with acute appendicitis with possible associated appendiceal mucocele.

Pathology results revealed acute suppurative appendicitis.

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