Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
-
Ultrasound Obstet Gynecol · May 1996
Case ReportsDetection of appendicitis by transvaginal ultrasound: a case report.
Transvaginal ultrasound was performed in a 35-year-old woman with right iliac fossa discomfort in whom initial transabdominal images revealed no abnormality. A thickened hyperemic appendix with appendicolith was identified; subsequent surgery and pathological examination confirmed appendicitis. Transvaginal ultrasound may be valuable in women with suspected appendicitis when standard views are normal or equivocal.
-
Ultrasound Obstet Gynecol · May 1996
Case ReportsAcute appendicitis: diagnosis by transvaginal sonography.
We present a case of a female patient with right lower quadrant abdominal pain, in whom transvaginal ultrasound facilitated the diagnosis of acute appendicitis. The insertion of the appendix into the cecum was demonstrated with direct continuity between the cecal lumen and the appendix. The inflamed appendix was in close proximity to the right ovary and was distinguished by a thick edematous wall and fluid in the lumen. This combination of findings may comprise a new sonographic sign for the diagnosis of acute appendicitis, particularly when performed by transvaginal sonography.