Acute appendicitis with the presence of peristalsis seen in ultrasound
A 27-year-old male patient presented in the emergency department (ED) with right acute abdominal pain, tenderness of the abdominal wall, and abdominal guarding. With suspicion of acute appendicitis, we performed bedside sonography. A blind-ending tubular structure, originating from the base of cecum...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Medical Ultrasound |
| Subjects: | |
| Online Access: | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2022;volume=30;issue=2;spage=138;epage=139;aulast=Mohan |
| _version_ | 1818196117831024640 |
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| author | Vignes Mohan Pjeter Laska Angelina Meier Bruno Minotti |
| author_facet | Vignes Mohan Pjeter Laska Angelina Meier Bruno Minotti |
| author_sort | Vignes Mohan |
| collection | DOAJ |
| description | A 27-year-old male patient presented in the emergency department (ED) with right acute abdominal pain, tenderness of the abdominal wall, and abdominal guarding. With suspicion of acute appendicitis, we performed bedside sonography. A blind-ending tubular structure, originating from the base of cecum with the presence of an intraluminal calcified “stone,” with the presence of clear peristalsis was seen. Whether this structure represented the appendix or the small bowel, it was not distinguishable sonographically. A consequent surgical consultation indicated a computer tomography scan, and the finding showed acute appendicitis with appendicolith. An inflamed appendix of 15 cm in length was seen laparoscopically and consequently an appendectomy was performed. The histology confirmed a putrid, ulcero-phlegmonous, and hemorrhagic appendicitis with appendicolith. Postoperatively, the patient made a good recovery without complications. The absence of peristalsis is a well-known criterion for diagnosing acute appendicitis. However, we have shown here, that this should be taken into account with caution, as in rare cases such as this appendicitis can be present with peristalsis. |
| first_indexed | 2024-12-12T01:28:59Z |
| format | Article |
| id | doaj.art-0516de0e27f9433bb4676bdf3f52f105 |
| institution | Directory Open Access Journal |
| issn | 0929-6441 2212-1552 |
| language | English |
| last_indexed | 2024-12-12T01:28:59Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Ultrasound |
| spelling | doaj.art-0516de0e27f9433bb4676bdf3f52f1052022-12-22T00:43:01ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522022-01-0130213813910.4103/JMU.JMU_177_20Acute appendicitis with the presence of peristalsis seen in ultrasoundVignes MohanPjeter LaskaAngelina MeierBruno MinottiA 27-year-old male patient presented in the emergency department (ED) with right acute abdominal pain, tenderness of the abdominal wall, and abdominal guarding. With suspicion of acute appendicitis, we performed bedside sonography. A blind-ending tubular structure, originating from the base of cecum with the presence of an intraluminal calcified “stone,” with the presence of clear peristalsis was seen. Whether this structure represented the appendix or the small bowel, it was not distinguishable sonographically. A consequent surgical consultation indicated a computer tomography scan, and the finding showed acute appendicitis with appendicolith. An inflamed appendix of 15 cm in length was seen laparoscopically and consequently an appendectomy was performed. The histology confirmed a putrid, ulcero-phlegmonous, and hemorrhagic appendicitis with appendicolith. Postoperatively, the patient made a good recovery without complications. The absence of peristalsis is a well-known criterion for diagnosing acute appendicitis. However, we have shown here, that this should be taken into account with caution, as in rare cases such as this appendicitis can be present with peristalsis.http://www.jmuonline.org/article.asp?issn=0929-6441;year=2022;volume=30;issue=2;spage=138;epage=139;aulast=Mohanacute appendicitisemergency departmentperistalsisultrasound |
| spellingShingle | Vignes Mohan Pjeter Laska Angelina Meier Bruno Minotti Acute appendicitis with the presence of peristalsis seen in ultrasound Journal of Medical Ultrasound acute appendicitis emergency department peristalsis ultrasound |
| title | Acute appendicitis with the presence of peristalsis seen in ultrasound |
| title_full | Acute appendicitis with the presence of peristalsis seen in ultrasound |
| title_fullStr | Acute appendicitis with the presence of peristalsis seen in ultrasound |
| title_full_unstemmed | Acute appendicitis with the presence of peristalsis seen in ultrasound |
| title_short | Acute appendicitis with the presence of peristalsis seen in ultrasound |
| title_sort | acute appendicitis with the presence of peristalsis seen in ultrasound |
| topic | acute appendicitis emergency department peristalsis ultrasound |
| url | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2022;volume=30;issue=2;spage=138;epage=139;aulast=Mohan |
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