Presentation
Right iliac fossa pain
Patient Data
Age: 35 years
Gender: Female
From the case:
Acute appendicitis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/37069/annotated_viewer_json?lang=us"}
In the right iliac fossa there is a blind ending tubular structure measuring 10 mm in diameter and demonstrating peripheral hyperemia. Stratification of the wall (target sign) and surrounding echogenic fat are signs of edema. This structure was non-compressible, focally tender and aperistaltic. Appearance consistent with acute appendicitis.
Case Discussion
Typical ultrasound appearance of acute appendicitis. Ultrasound is a particularly useful adjunct to clinical assessment in female patients where gynecological pathology is a differential possibility.