Appendicolith ultrasound case study

02
Case Study
Appendicolith

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Clinical History: A 12-year-old male presents with a 24-hour history of progressively worsening right lower abdominal pain, initially peri-umbilical and now localized to the right iliac fossa. Pain is accompanied by low-grade fever, anorexia, and nausea. On physical examination, there is localized tenderness and guarding in the right lower quadrant. Laboratory tests show elevated white blood cell count (WBC) and raised C-reactive protein (CRP)
Figer-1

📄 Report Sample Line- Appendicolith
A dilated, non-compressible tubular structure measuring approximately 8 mm in diameter is noted in the right iliac fossa, consistent with the appendix. An echogenic focus with posterior acoustic shadowing is seen within the lumen, suggestive of an appendicolith. Surrounding echogenic fat and mild free fluid are noted, indicative of periappendiceal inflammation. Findings are consistent with acute appendicitis with appendicolith.


Conclussion: 📋 Acute appendicitis associated with an appendicolith, indicating luminal obstruction and localized inflammation
Recommendation: Clinical and laboratory correlation is essential.