Sunday, September 23, 2012

A case of right iliac fossa pain in a child:

This 8 yr old girl had severe right iliac fossa pain and tenderness.
Ultrasound and color Doppler images of the right hemipelvis and right iliac region show a severely swollen appendix (the diameter varied from 8 to 12 mm.) with considerable hyperemia of the wall (see the color Doppler images). The tubular structure showed typical gut signature, one of the hallmarks of Gastro intestinal tract ultrasonography. There is also a large inhomogenous collection with echogenic debris anterior to the appendix, possibly an abscess (peri-appendicular)- (M or ABS)

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