Acute appendicitis - pediatric
Right lower quadrant abdominal and periumbilical pain, fever, positive McBurney sign.
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Thickened, hyperemic appendix with a maximum thickness of 21 mm. Hyperemia of the adjacent small bowel and mesenteric fat.
A markedly inflamed appendix was demonstrated on ultrasound with inflammation extending into the adjacent small bowel and fat. Rebound tenderness at this point. Acute appendicitis diagnosed and confirmed at surgery.