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