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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.

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|May 1, 1996
PubMed
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.

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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.