Images and text Genevieve Carbonatto A 14 year old boy presents to the Emergency Department with abdominal pain. The pain had started acutely the day before and he had been unable to sleep because of the pain. As you lead the patient to the examination room you note his antalgic gait. He states that while Read more about Appendicitis[…]
Images Genevieve Carbonatto 34 year old presented with 3 day history of RIF. Examination shows right ovarian cyst and fluid in the pouch of Douglas. Ruptured ovarian cyst thought to be the cause of her pain. Examination however at the maximum point of tenderness shows an inflamed appendix. Appendix 2.70cm Ovarian cyst 3.69 cm. Longitudinal view Read more about Appendicitis , right ovarian cyst[…]
Images Genevieve Carbonatto Patient 11 weeks pregnant complaining of RIF pain. On examination of RIF , appendicitis visible. Note thickened walls of appendix. Appendix measures 1.36cm. Target sign – hypoechoic walls Blind loop, thickened walls Note lack of peristalsis Intrauterine gestational sac with active fetal pole
Images by Genevieve Carbonatto Target sign. Outer wall to outer wall the appendix is 0.76 cm. Appendicitis is typically seen if the wall is over 0.6cm Hyperaemic walls Longitudinal view – blind loop, thickened appendix Colour Doppler, hyperaemic walls due to inflammation
Images Lee Juan Chiang Target sign Colour doppler shows inflammation of walls Blind loop, thickened appendix
Images by Genevieve Carbonatto Colour Doppler, hyperaemic walls – “ring of fire” Target sign Longitudianl view . Blind loop. Note appendix is not moving, there is no peristalsis. Compare with overlying bowel which is moving. Thickened bowel walls.
Images by Genevieve Carbonatto Target sign Blind loop, no peristalsis, thickened walls of appendix Colour Doppler, hyperaemic walls