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Acute appendicitis: diagnosis by transvaginal sonography
B Caspi1, A Weissman, R Pfefferman
1Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot (Affiliated with the Haddasah-Hebrew University School of Medicine), Israel.
Summary
Transvaginal ultrasound aided in diagnosing acute appendicitis by visualizing the inflamed appendix. This imaging technique may offer a new diagnostic sign for appendicitis, especially in cases of right lower quadrant pain.
Area of Science:
- Radiology
- Gastroenterology
- Gynecology
Background:
- Acute appendicitis is a common surgical emergency often presenting with right lower quadrant abdominal pain.
- Diagnostic imaging plays a crucial role in confirming appendicitis and differentiating it from other conditions.
- Transvaginal ultrasound is increasingly utilized for pelvic and lower abdominal evaluations.
Observation:
- A female patient presented with right lower quadrant abdominal pain.
- Transvaginal ultrasound was performed to investigate the cause of pain.
- The examination revealed characteristic features of acute appendicitis.
Findings:
- Direct continuity between the cecal lumen and the appendix was visualized.
- The inflamed appendix showed a thickened, edematous wall and intraluminal fluid.
- The appendix was noted to be in close proximity to the right ovary.
Implications:
- This specific sonographic presentation may represent a novel diagnostic sign for acute appendicitis.
- Transvaginal ultrasound offers a valuable, non-invasive method for diagnosing acute appendicitis.
- Further research can validate this sonographic sign in a larger patient cohort.
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