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Acute appendicitis

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis almost certain

Presentation

McBurney’s point tenderness, anorexia and vomiting.

Patient Data

Age: 25 years
Gender: Male
ultrasound

A dilated appendix (10 mm) is seen in the right iliac fossa with distinct appendiceal wall layers (gut signature sign) which implies non-necrotic stage.

Echogenic prominent pericaecal and periappendiceal fat.

Case Discussion

The findings are consistent with acute appendicitis.

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