Pain in right lower abdomen since 3 days.
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Normal proximal appendix is seen. Narrow transition from normal to abnormally dilated appendix is noted. No fecolith is seen at this point. Distal half of appendix is dilated. Fluid debris level is noted. Tip of appendix is directed to pelvis.
Acute appendicitis with dilated and edematous appendiceal wall.
Findings of acute appendicitis with fluid -debris level affecting distal half of appendix.
Surgery - Findings confirmed. Pus was present which was seen at fluid -debris level on US. No fecolith.