Acute appendicitis on ultrasound

Case contributed by Dr Matthew Lukies

Presentation

Two day history of worsening right iliac fossa pain.

Patient Data

Age: 20
Gender: Female
Ultrasound
  • Normal sized and non-tender bilateral ovaries on trans-abdominal scanning
  • Vermiform appendix measuring 9 mm in diameter, with hyperemia and absence of peristalsis
  • Tenderness on ultrasound probe palpation of the vermiform appendix
  • Non-compressive appendix
  • Hyperechoic fat surrounding the vermiform appendix
  • "Target" appearance on axial plane

The findings in this case are consistent with acute appendicitis.

Case Discussion

The patient in this case proceeded to laparoscopic appendectomy and the diagnosis of acute appendicitis was confirmed on subsequent histopathology, with focal mucosal ulceration and transmural acute inflammation.

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Case information

rID: 51979
Published: 16th Mar 2017
Last edited: 4th Jul 2017
Inclusion in quiz mode: Included

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