Appendicitis - perforated

Case contributed by Dr Maulik S Patel

Presentation

Abdominal pain - 2 days

Patient Data

Age: 19 yrs
Gender: Male
Ultrasound

Appendix is visualized in its entire length. There is a focal area of loss of gut signature sign in appendix - perforation - with adjacent collection. On compression, echoes appear to move from appnedix perforation to adjacent collection.

Echogenic - inflammed periappendiceal fat and reactive nodes are present.

Vascularity is preserved in wall.

No fecolith is noted.

 

Case Discussion

Findings favor appendicitis with perforation and local collection.

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Case information

rID: 26853
Published: 10th Jan 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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