SONOWORLD : Appendicitis, Right Lower Abdominal Pain
153,849 Registered Members as of 05/23/2017.
Abdomen » Appendix
Acute Appendicitis
« Back to Listing
Author(s) :
Ross Wank, MD  |  Rafay Ahmed, MD
Presentation 15 year old female with right lower quadrant pain and low grade temperature. On physical exam there was tenderness in the right lower quadrant, with rigidity and guarding.
Caption: Sonogram of Right Lower Quadrant
Description: Right Lower Quadrant sonogram at the site of maximum tenderness shows a tubular, fluid filled, distended, non-compressible structure. The wall is 2mm thick and total appendix diameter is 10mm.
Caption: Short-Axis View of Appendix with color Doppler
Description: Short-axis view of appendix with color Doppler showing moderate flow in the appendiceal wall.
Caption: Long-Axis View of Appendix.
Description: This long-axis view shows a thick walled non- compressible blind ending tubular structure.
Differential Diagnosis Acute Appendicitis
Ovarian Torsion
Right Ureteric Calculus
Final Diagnosis Acute Appendicits
Discussion  Sonographic Signs of Appendicitis (1) :

Primary finding:

  • Appendix diameter > 6mm. 

Other findings :

  • Lack of compressibility
  • Inflamed, echogenic periappendiceal fat
  • Hyperemia on color Doppler
  • Appendicolith
  • Adjacent fluid collections
For a more detailed discussion about the relative frequency of occurrence of each of the above findings see web resource

More about  Appendicits is available on Sonoworld at the following link
Case References Middleton, W., Kurtz, A. Ultrasound: The Requisites. 2nd ed. Philadelphia, Pennsylvania: Mosby, 2004. ISBN 0323017029
Follow Up Surgery confirmed acute appendicitis.
Other contents by this AuthorOther Cases in This Category