Appendicitis 11 weeks pregnant

Images Genevieve Carbonatto

An  11 week pregnant patient presented to the Emergency department complaining of right iliac fossa  pain. Ultrasound examination shows appendicitis. Features consistent with this include

  •  Thickened appendix which measures 1.36cm.
  • Target sign – hypoechoic walls
  • Non compressible appendix
  • Lack of peristalsis
  • “creeping fat” or hyperechoic mesentery surrounding appendix

 

 

 

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