Presentation
Right lower quadrant pain, nausea and vomiting with neutrophilic leukocytosis
Patient Data
Age: 15 years
Gender: Male
From the case:
Acute appendicitis - possibly secondary to ascariasis
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A blind-ending non-compressible tubular structure with mural vascularity and significant surrounding inflammatory changes was noted in the right iliac fossa suggesting acute appendicitis. A tubular hypoechoic structure with parallel echogenic lines is seen within the lumen of the appendix may represent an Ascaris worm.
Case Discussion
The features are consistent with acute appendicitis, and appearances suggest the presence of an Ascaris worm.
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