January 2013

Air and fluid filled mass

Clinical Info

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
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 is rounded in all directions and is not a bowel loop
The mass also ontains some echogenic structures
The mass also ontains some echogenic structures
There is also some free peritoneal fluid
There is also some free peritoneal fluid
There is some fluid around the liver
There is some fluid around the liver
Another image of the fluid around the liver
Another image of the fluid around the liver
video showing the cystic mass in longitudinal plane
video showing the cystic mass in transverse plane just above the bladder
video showing the free peritoneal fluid

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

Created with

  • Hitachi Ultrasound System