April 2005

Abnormal Appendix

Clinical Info

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´s disease. No signs of malignancy were found.
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´s disease. No signs of malignancy were found.
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

  • Hitachi Ultrasound System