Appendicitis - perforated

Case contributed by Dr Maulik S Patel

Presentation

Abdominal pain - 2 days

Patient Data

Age: 19 years
Gender: Male
Ultrasound

Appendix is visualized in its entire length. There is a focal area of loss of gut signature sign in the appendix consistent with perforation and an adjacent collection. On compression, echoes appear to move from appendix perforation to adjacent collection.

Echogenic, inflammed periappendiceal fat and reactive nodes are present.

Appendiceal wall vascularity is preserved.

No fecolith is noted.

 

Case Discussion

Findings favor appendicitis with perforation and local collection.

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Case information

rID: 26853
Published: 10th Jan 2014
Last edited: 6th Jan 2021
Inclusion in quiz mode: Included

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