Test Yourself

Case 3

HISTORY

A young man presented with 1 day of diffuse abdominal pain which was now maximal in the right iliac fossa.

ULTRASOUND FINDINGS

There is a blind ended, aperistaltic, non compressible 8mm tubular structure which seems to originate from the caecum. Color Doppler shows hyperaemia. There is a small amount of free fluid seen adjacent to the tip.

DISCUSSION

This case demonstrated all the features of appendicitis. Note that a gangrenous appendix may be ischaemic and therefore not be hyperaemia and may 'decompress' so that it may not be enlarged. Not visualizing the appendix does not exclude appendicitis.

SUBMITTED BY

Leanne Hartnett


Right iliac fossa, trans

Right iliac fossa, trans

A round, non compressible tubular structure with 'gut signature' is seen. There is a small amount of free fluid medially.
Right iliac fossa, trans Right iliac fossa, trans Right iliac fossa, long Right iliac fossa, color Doppler