Case 121: Appendicular Abscess || Ultrasound

                  

Clinical Features:

11-year-old female patient came with severe right lower abdominal pain.

Ultrasound Features:

- Right iliac fossa shows an irregular thick-walled complex collection with internal low-level echoes.

- Vermiform appendix is not separately visualized.

- Surrounding thickened fat layer is seen.

- Adjacent bowel loops show sluggish movements.

- Color Doppler shows prominent perilesional vascularity.

- The lesion compresses adjacent psoas muscle with no intrapsoas abnormality at present.

- Adjacent multiple prominent lymph nodes are seen.

Remember:

Peritoneal collection adjacent to a gangrenous appendix or abscess may suggest perforation.

Ultrasound Diagnosis:

Appendicular Abscess 

Ultrasound Images:

Appendicular abscess

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