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Acute appendicitis: diagnosis by transvaginal sonography
Author(s) -
Caspi B.,
Weissman A.,
Pfefferman R.,
Appleman Z.
Publication year - 1996
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1996.07050359.x
Subject(s) - appendix , medicine , cecum , appendicitis , lumen (anatomy) , radiology , acute appendicitis , transvaginal sonography , lower abdominal pain , abdominal pain , acute abdominal pain , endometriosis , surgery , gynecology , pregnancy , paleontology , genetics , biology
We present a case of a female patient with right lower quadrant abdominal pain, in whom transvaginal ultrasound facilitated the diagnosis of acute appendicitis. The insertion of the appendix into the cecum was demonstrated with direct continuity between the cecal lumen and the appendix. The inflamed appendix was in close proximity to the right ovary and was distinguished by a thick edematous wall and fluid in the lumen. This combination of findings may comprise a new sonographic sign for the diagnosis of acute appendicitis, particularly when performed by transvaginal sonography. Copyright © 1996 International Society of Ultrasound in Obstetrics and Gynecology