IS case 518: Acute appendicitis

Benita Tamrazi, MD

University of Rochester


Imaging Sciences URMC 2010
Publication Date: 2010-09-10

History

Patient is a 23-year-old female presenting with right lower quadrant pain.

Findings

Enlarged, non-compressible tubular structure with increased vascularity and wall thickening in the right lower quadrant.

Diagnosis

Acute appendicitis

Discussion

Acute appendicitis is a medical emergency characterized by inflammation of the appendix. The condition is one of the most common causes of acute abdominal pain. Diagnosis is based on patient history, physical exam and imaging findings. Ultrasonography, including Doppler imaging demonstrates a non-compressible tubular structure with wall thickening and increased vascularity in the right lower quadrant. Management includes laparoscopic and open surgical resection of the appendix.

References

  1. Mardan MA, Mufti TS, Khattak IU, et al. Role of ultrasound in acute appendicitis. J Ayub Med Coll Abbottabad. 2007 Jul-Sep;19(3):72-9. PMID: 18444596

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