Acute appendicitis with appendicolith

Case contributed by Dr Mohammad Osama Yonso


12 y/o female with abdominal pain, nausea and vomiting for 2 day

Patient Data

Age: 12 Y/O
Gender: Female

An appendicolith is identified in the appendix  S. A thickened wall of appendix is noted. The diameter is 12 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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Case information

rID: 25477
Published: 27th Oct 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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