Intestinal ascariasis and appendicitis

Case contributed by Hazem M Almasarei , 5 Jul 2021
Diagnosis almost certain
Changed by Jeremy Jones, 6 Jul 2021

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .

Updates to Study Attributes

Findings was changed:

There is a long tubular, non compressible-compressible, aperistaltic, blind ending-ending bowel loop with a hypoechoic wall in the right iliac fossa,  curved curved on itself containing fluid with some internal echoes,  AP AP diameter 6 mm to 9mm9 mm, wall thickness 3 mm,  typical typical of acute appendicitis.The. The mesentery around it is quite hyper echoichyperechoic, 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.

Updates to Study Attributes

Findings was changed:

There are long tubular structures seen Intraluminal or within the small bowel loops, with sharply echogenic wall and hypoechoic centrally, its diameter measuring 4mm4 mm, seen in epigastric and left upper quadrant regions likely worms.

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