April 2009

An unusual case of appendicitis

Clinical Info

Pain in the right lower abdomen and raised infection parameters

Ultrasound Images & Clips

77 year old female, Pain in the right lower abdomen and raised infection parameters

Longitudinal image of the thickened and not compressible appendix
Longitudinal image of the thickened and not compressible appendix
Transverse image of the thickened and not compressible appendix
Transverse image of the thickened and not compressible appendix
Transverse image of the thickened not compressible appendix with vascularized wall
Transverse image of the thickened not compressible appendix with vascularized wall
Longitudinal image of the base of the appendix shows an obstructing mass
Longitudinal image of the base of the appendix shows an obstructing mass
Longitudinal image of the cecum and appendix with a large cecal mass obstructing the base of the appendix and the thickened fluid filled inflamed appendix
Longitudinal image of the cecum and appendix with a large cecal mass obstructing the base of the appendix and the thickened fluid filled inflamed appendix
CT image with the cecal mass and thickened appendix
CT image with the cecal mass and thickened appendix
CT image with the cecal mass
CT image with the cecal mass

Conclusion

In the case of an appendicitis it is always important to look for a possible cause. In many cases a fecolith is seen obstructing the appendix. Also an inflamed appendix can be secondary to other inflammatory bowel diseases. Especially in older patients an appendicitis can be caused by an obstructing cecal mass.

References            
Puylaert JB. Ultrasonography of the acute abdomen: gastrointestinal conditions.Radiol Clin North Am. 2003 Nov;41(6):1227-42, vii. Review

Brown MA. Imaging acute appendicitis Semin Ultrasound CT MR. 2008 Oct;29(5):293-307. Review


Details

  • Sex: Female
  • Age: 77

Created with

  • Hitachi Ultrasound System