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Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Avoiding appendectomy with an ultrasound probe.

P Oikonomou1, C Nikolaou1, I Chrisafis2

  • 1Democritus University of Thrace, Alexandroupolis, Greece.

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|November 23, 2021
PubMed
Summary
This summary is machine-generated.

A rare case of appendiceal faecolith migration, potentially induced by ultrasound, led to non-operative treatment. This finding suggests a less invasive approach may be possible for some appendicitis cases.

Keywords:
Appendiceal colicAppendiceal faecolithAppendicitisAppendicolithUltrasound

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Area of Science:

  • Medical Imaging
  • Gastroenterology
  • Emergency Medicine

Background:

  • Acute appendicitis is a common cause of right lower quadrant pain, posing diagnostic challenges for clinicians.
  • Imaging, particularly ultrasound, plays a crucial role in diagnosing appendicitis and identifying appendicoliths.
  • Appendectomy remains the standard treatment, but its necessity is debated in certain patient groups.

Observation:

  • A 42-year-old woman presented with acute right lower quadrant pain.
  • Ultrasound revealed a 0.6cm appendiceal faecolith within the appendix.
  • The faecolith migrated during ultrasound examination.

Findings:

  • The patient was successfully treated non-operatively without antibiotics following faecolith migration.
  • This case suggests spontaneous or probe-induced migration of an appendiceal faecolith is possible.
  • Migration significantly reduces the need for appendectomy.

Implications:

  • Non-operative management is a viable alternative for select patients with appendiceal faecoliths.
  • This approach can potentially avoid surgery, minimize patient morbidity, and reduce healthcare costs.
  • Further investigation into faecolith migration could refine treatment strategies for appendicitis.