Acute appendicitis with appendicolith

Case contributed by Guilherme Castilho S. de Lima
Diagnosis almost certain

Presentation

Abdominal pain and vomiting.

Patient Data

Age: 6 years
Gender: Male
ultrasound

A series of images in the right iliac fossa demonstrates an aperistaltic, non-compressible, dilated appendix (0.9 cm) with wall thickening and mural hyperemia. There is also a hyperechoic appendicolith with a posterior acoustic shadow in the appendix base.

Case Discussion

A well-illustrated case of uncomplicated acute appendicitis.

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