Ultrasound Cases Logo
Search Cases

Case of the Month

August 2006

Patient Data: 23 year old female

Clinical Info: Chronic intermittent pain in the right lower abdomen. No signs of peritonitis. The laboratory tests were normal.


23139.jpg
Longitudinal extended field of view image of a more than 1cm. thick non compressible appendix.


23140.jpg
Longitudinal image of the proximal part of the appendix.


23141.jpg
Longitudinal image of the tip of the appendix. The appendix is well demarkated and there are no signs of inflammation around the appendix.


23142.jpg
Transverse view of the thick non compressible appendix but without inflammatory signs around the appendix.


23143.jpg
Transverse color doppler image of the appendix with some vascularity of the wall of the appendix.


23144.jpg
A CT scan confirmed the presence of a round thickened appendix without signs of inflamed fat.

Because the laboratory findings were normal and there were no signs of peritonitis the surgeon was reluctant to operate. Because no other explantion for the intermittent abdominal pain could be found, an appendectomy was performed.

The pathologist found a xanthogranolomatous appendicitis without signs of an acute inflammation.

See also:

References
Xanthogranulomatous appendicitis--an incidental finding of localized pathology.
Ultrastruct Pathol. 2000 Jan-Feb;24(1):33-9.
Munichor M, Kerner H, Cohen H, Bickel A, Iancu TC

Xanthogranulomatous appendicitis.
J Formos Med Assoc. 2005 Oct;104(10):752-4. Chuang YF, Cheng TI, Soong TC, Tsou MH.

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

Developed by Prominent Media Web Development