Electronic ISSN 2287-0237

VOLUME

PRACTICAL POINTS IN DIAGNOSIS OF ACUTE APPENDICITIS BY CT IMAGE AND/OR PELVIC ULTRASONIC SCAN: A CASE REPORT

FEBRUARY 2016 - VOL.11 | CASE REPORT

Acute appendicitis is one of the most common causes of abdominal pain. CT image and /or pelvic ultrasonic scan are excellent resources to assist in diagnosis. The common locations to examine are retroceacal, pelvic and retroileum. The size of a normal appendix is less than 6 mm in  diameter  and  the  wall  is  less  than  2  mm  thick. The associated findings are periappendiceal edema with or without fluid collection and/ or calcified fecalith in the lumen. In pregnancy and pediatric groups, ultrasound should be performed. The differential diagnosis is diverticulitis.

Keywords:

locations of appendix, acute appendicitis

MEDIA
Figure 1A:
CT image reveals markedly enlarged appendix with thickening wall (see red arrows).
Figure 1B:
ultrasonic scan finding reveals enlarged appendix with thickening wall (see arrows).
Figure 1C:
Gross specimen of appendix.
Figure 2A:
CT image reveals enlarged appendix (see white arrows) containing calcified fecalith (see red arrows).
Figure 2B:
Gross specimen of appendix with fecalith.
Figure 3A:
CT image reveals enlarged appendix behind terminal ileum (see red arrows).
Figure 3B:
Ultrasonic scan reveals enlarge appendix with a thickened mural wall (see red arrows)
Figure 3C:
Microscopic scan shows acute suppurative appendicitis with periappendicitis
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