IS case 518: Acute appendicitis

Benita Tamrazi, MD

University of Rochester

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


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


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


Acute appendicitis


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.


  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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