Acute appendicitis

Case contributed by Murithi Derrick
Diagnosis almost certain

Presentation

Severe right lower abdominal pain, nausea and vomiting.

Patient Data

Age: 45 years
Gender: Female
ultrasound

The right iliac fossa region revealed an aperistaltic, non-compressible, fluid-filled, blind-ending tube measuring 8.1mm in outer diameter, consistent with an inflamed appendix.

Hyperechoic indurated fat is seen surrounding the appendix.

Mild peri appendiceal complex fluid collection is also seen.

Case Discussion

Acute appendicitis is an acute inflammation of the vermiform appendix as a result of obstruction of the appendiceal lumen.

The most common clinical presentation is moderate to severe periumbilical/right iliac fossa pain, vomiting and fever.

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