Appendicitis - perforated

Case contributed by Dr Maulik S Patel

Presentation

Abdominal pain - 2 days

Patient Data

Age: 19 years
Gender: Male

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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