Acute appendicitis with appendicolith

Case contributed by Dr M Osama Yonso


33 y/o male with abdominal pain, nausea and vomiting for 1 day

Patient Data

Age: 33y
Gender: Male

An appendicolith is identified in the appendix  S with a free-fluid around it . A thickened wall of appendix is noted . The diameter is 6.5 mm with adjacent fat echoeic. 

Case Discussion

An appendicolith is a calcified deposit within the appendix, and suggestive of appendicitis, we should image in three planes sagittal ,transverse and oblique (oriented perpendicular to the iliac vessels)  

An appendicolith gives an acoustic shadow on ultrasound.

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Case information

rID: 24611
Published: 31st Aug 2013
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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