2 year old, ruptured appendix

Images Genevieve Carbonatto

Severely unwell febrile 2 year old presenting with abdominal tenderness and rebound

Features of appendicitis

  • Thickened appendix
  • Faecolith
  • Free fluid in RLQ indicating rupture
  • incompressible
  • ” creeping fat” hyperechoic mesentary

Incompressible appendix. a complex structure abuts the appendix ? abscess . Appendicolith appears just at the end of the clip with free fluid surrounding the appendix



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