Appendicitis

Case contributed by Dr Jeremy Jones

Presentation

Lower abdominal pain, but no guarding. Borderline temperature. Some RIF tenderness. ? appendicitis ? ovarian pathology

Patient Data

Age: 12
Gender: Female
Ultrasound

Normal solid organs.

The appendix is dilated and fluid-filled. It measures 1.2 cm in maximal diameter. The cine loop demonstrates the blind-ending tube with surrounding inflammatory echogenic fat.

No collection. No appendicolith.

Case Discussion

Appearances here are of uncomplicated appendicitis. This was confirmed operatively during laparoscopic appendectomy.

In our institution, the majority of appendicitis is treated operatively without ultrasound confirmation. Ultrasound is used in cases where clinical findings are atypical or there is a second alternative diagnosis.

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Case information

rID: 46186
Published: 15th Aug 2018
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included

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