Presentation
Vomiting and generalized abdominal pain more pronounced in the right iliac fossa and to rule out acute appendicitis.
Patient Data
There are long tubular structures seen Intraluminal or within the small bowel loops, with sharply echogenic wall and hypoechoic centrally, its diameter measuring 4 mm, seen in epigastric and left upper quadrant regions likely worms.
There is a long tubular, non-compressible, aperistaltic, blind-ending bowel loop with a hypoechoic wall in the right iliac fossa, curved on itself containing fluid with some internal echoes, AP diameter 6 mm to 9 mm, wall thickness 3 mm, typical of acute appendicitis. The mesentery around it is quite hyperechoic, edematous, inflamed thickened and there is significant peri appendicular hypervascularity in the adjacent mesentery. There is a localized fluid collection of about 1.5 to 2 cc.
Case Discussion
Acknowledgement:
Dr. Vyomesh P. Buch MD, DMRE, Specialist Radiologist, Canadian Specialist Hospital, Dubai, UAE.
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