Acute appendicitis

Case contributed by Dr. Tarek Moustafa Essam Daoud

Presentation

Nausea, vomiting and right iliac fossa pain & tenderness.

Patient Data

Age: 15 years
Gender: Male
Ultrasound

An aperistaltic, blind-ended, incompressible bowel loop is seen at the right iliac fossa averaging 8.3 mm in caliber. 

This is associated with surrounding echogenic fat planes with mild stranding as well as reactive-looking mesenteric lymph nodes.

On transverse imaging, the characteristic target sign is seen.

Overall features are matching with acute appendicitis.

Case Discussion

The patient's clinical presentation and elevated white count were also consistent with acute appendicitis.

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