logo Ultrasound Cases
powered by FUJIFILM Healthcare Europe and SonoSkills

April 2005

Abnormal Appendix
Bookmark

Clinical information

Admission under suspicion of appendicitis but the boy is complaining about right lower quadrant pain for a longer time.

Ultrasound Images & Clips

15 year old boy, Admission under suspicion of appendicitis but the boy is complaining about right lower quadrant pain for a longer time.

Longitudinal image showing a massive thickened appendix with a fecolith at the tip.
Longitudinal image showing a massive thickened appendix with a fecolith at the tip.
Transverse image showing the same massive thickened appendix.
Transverse image showing the same massive thickened appendix.
Transverse image with color doppler showing vascularization of the appendiceal wall.
Transverse image with color doppler showing vascularization of the appendiceal wall.
Longitudinal image with color doppler showing vascularization of the appendiceal wall.
Longitudinal image with color doppler showing vascularization of the appendiceal wall.
There is not only thickening of the appendix but also of the cecal wall.
There is not only thickening of the appendix but also of the cecal wall.
Longitudinal image of the thickened cecal wall with thumb printing. Because this was not a normal presentation of an acute appendicitis the patient was not operated, but instead a biopsy was performed which showed granulomas highly suggestive for Crohn
Longitudinal image of the thickened cecal wall with thumb printing. Because this was not a normal presentation of an acute appendicitis the patient was not operated, but instead a biopsy was performed which showed granulomas highly suggestive for Crohn
In cases of acute appendicitis there can also sometimes be a massive thickened appendix as in this case.
In cases of acute appendicitis there can also sometimes be a massive thickened appendix as in this case.
One should always remember that a thickened appendix does not always means that there is an acute appendicitis as in this case of non Hodgkin´s lymphoma.
One should always remember that a thickened appendix does not always means that there is an acute appendicitis as in this case of non Hodgkin´s lymphoma.

Details

  • Sex: Male
  • Age: 15

Created with

  • Fujifilm Ultrasound System
Browse through our ultrasound product portfolio
Looking for MSK Ultrasound Education? Visit Sonoskills.com
photo Taco Geertsma
Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

More Cases from Taco Geertsma