January 2013

Air and fluid filled mass

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Clinical information

Pain in the lower abdomen and slightly raised infection parameters. An ultrasound examination was requested to rule out an appendicitis.

Ultrasound Images & Clips

Air and fluid filled mass in the abdomen without peristalsis

There is a cystic looking mass with debris and air without peristalsis

The mass is rounded in all directions and is not a bowel loop

The mass also ontains some echogenic structures

There is also some free peritoneal fluid

There is some fluid around the liver

Another image of the fluid around the liver

video

Conclusion

The differential diagnosis should include an abscess but the wall is very regular and the clinical and laboratory findings are not consistent with an abscess. The patient was operated and the fluid-filled mass proved to be a large inflamed Meckels divericulum.

Details

Sex: Female
Age: 33

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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.

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