Appendicitis - perforated
Abdominal pain - 2 days
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Appendix is visualized in its entire length. There is a focal area of loss of gut signature sign in appendix - perforation - with adjacent collection. On compression, echoes appear to move from appnedix perforation to adjacent collection.
Echogenic - inflammed periappendiceal fat and reactive nodes are present.
Vascularity is preserved in wall.
No fecolith is noted.
Findings favor appendicitis with perforation and local collection.