Clinical Features:
An 11-year-old male patient came with severe right lower abdominal pain.
Ultrasound Features:
A blind-ended, distended, non-compressible, tubular structure of intestinal origin, connected to adjacent caecum with the presence of gut signature, surrounding fat stranding & mild perilesional collection is noted at the right iliac fossa.
Ultrasound Diagnosis:
Acute appendicitis.
Remember:
Loss of gut signature suggests gangrenous change. Whereas, localized collection adjacent to a gangrenous appendix may suggest perforation.
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Ultrasound Images:
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