Ultrasound case study Acute appendicitis
Case Presentation:
Date of examination 15/12/2024.
A 24-year-old male presented to the emergency department with a 24-hour history of right lower quadrant (RLQ) abdominal pain, nausea, and mild fever. On Physical examination, he exhibited tenderness over McBurney’s point with guarding and rebound tenderness with Positive Rovsing’s sign.
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Fig.-1.1 (Case study 1.1)  |
Fig.-1.1 Acute appendicitis
US image study: Fig.-1.1: Transvers section of right iliac region revel "Egale Eye Sign". (or sometimes called the "Target Sign" or "Echo Target Sign") is a sonographic finding in acute appendicitis, seen in a transverse view of the inflamed appendix |
Finding:
Condition:
Probe tenderness is noted at McBurney's point with Positive Rovsing’s sign.
Size: Non-compressible appendix with a dilated diameter (>8.5 mm)
Appearance: A tumbler hypoechoic structure is visualized in the right iliac region and its wall is thick and echogenic with peripheral inflammatory fat is noted [reveal eagle eye sign] considered to potential inflammation of appendix. No significant free fluid is noted in the abdomen.
Vascularity: Doppler scans showing minimal vascularity.
Report:
Probe- tenderness is noted at McBurney`s point with Positive Rovsing’s sign. The appendix appears as a concentric, hypoechoic and hyperechoic ring structure, resembling an "Egale Eye Sign" and Increased echogenicity of surrounding fat considered to potential inflammation of appendix. its diameter is greater than >8.5mm. Doppler scan showing minimal vascularity. No significant free fluid is noted in the abdomen.
Impression: Acute appendicitis.
[Recommendations:
Follow-up with your primary care physician for further management if symptoms persist Adv.- X-Ray /CT scan].
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Fig.-1.2 (Case study 1.2)
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Fig.-1.2 Acute appendicitis
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Fig.-1.3 (Case study 1.2) |
| Fig.-1.3 Acute appendicitis |
US image study: Fig.-1.2 and Fig.-1.3: Transvers section of right iliac region revel Target Sign (Bull’s Eye Sign).
Case Presentation:
Date of examination 27/01/2025.
A 35-year-old female presented to the emergency department with a 2 day history of right lower quadrant (RLQ) abdominal pain, nausea, and mild fever. On Physical examination, she exhibited tenderness over McBurney’s point with guarding and rebound tenderness with Positive Rovsing’s sign.
Finding:
Condition:
Probe tenderness is noted at McBurney's point with Positive Rovsing’s sign.
Size: Non-compressible appendix with a dilated diameter (>9.1 mm)
Appearance: A tumbler hypoechoic structure is visualized in the right iliac region and its wall is thick and echogenic with peripheral inflammatory fat is noted [reveal eagle eye sign] considered to potential inflammation of appendix. No significant free fluid is noted in the abdomen.
Vascularity: Doppler scans showing minimal vascularity.
Report:
Probe- tenderness is noted at McBurney`s point with Positive Rovsing’s sign. The appendix appears as a concentric, hypoechoic and hyperechoic ring structure, resembling a Target Sign (Bull’s Eye Sign) and Increased echogenicity of surrounding fat considered to potential inflammation of appendix. its diameter is greater than >9.1mm. Doppler scan showing minimal vascularity. No significant free fluid is noted in the abdomen.
Impression: Acute appendicitis.
[Recommendations:
Follow-up with your primary care physician for further management if symptoms persist Adv.- X-Ray /CT scan].
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Fig.-1.4 (Case study 1.3) |
| Fig.-1.4 Acute appendicitis |
Fig.-1.5 (Case study 1.3)
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| Fig.-1.6 Acute appendicitis |
US image study: Fig.-1.4 and Fig.-1.5: Transvers section of right iliac region revel "Egale Eye Sign".
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