Acute appendicitis with appendicolith

Case contributed by Mohammad Osama Hussein Yonso

Presentation

Abdominal pain, nausea and vomiting for 1 day.

Patient Data

Age: 35 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ultrasound

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 echogenicity. 

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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