Ultrasound Cases Logo
Search Cases

Case of the Month

January 2013

Patient Data: Female patient 33 years old

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


48695-Afbeelding1.jpg
There is a cystic looking mass with debris and air without peristalsis


48696-Afbeelding2.jpg
The mass is rounded in all directions and is not a bowel loop


48697-Afbeelding3.jpg
The mass also ontains some echogenic structures


48698-Afbeelding4.jpg
There is also some free peritoneal fluid


48699-Afbeelding5.jpg
There is some fluid around the liver


48700-Afbeelding6.jpg
Another image of the fluid around the liver


48701-9579338_20120922__0018.swf video showing the cystic mass in longitudinal plane


48702-9579338_20120922__0019.swf video showing the cystic mass in transverse plane just above the bladder


48704-9579338_20120922__0021.swf video showing the free peritoneal fluid

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

more more examples of a Meckels diverticum see

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

Developed by Prominent Media Web Development