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This video shows Inflamed Appendix with inflammatory fluid in the adjacent area. The pathophysiology of acute appendicitis usually involves appendiceal obstruction with continued mucinous fluid secretion and bacterial proliferation within the lumen of the appendix. As such, a fluid- or mucus-filled appendix is recognized as a sign of acute appendicitis at CT. Most often, health care professionals suspect the diagnosis of appendicitis based on your symptoms, your medical history, and a physical exam. A doctor can confirm the diagnosis with an ultrasound, x-ray, or MRI exam. Sonographic criteria for a diagnosis of appendicitis include a noncompressible, blind-ended, aperistaltic tubular structure in right lower quadrant arising from the base of the cecum. The appearance is hyperechoic with an echo-poor abscess surrounding the appendix. There may be a reflective omentum around the appendix, a thickened bowel, and enlarged lymph nodes. Asymmetrical wall thickening may indicate a perforation. An ultrasound examination is performed to evaluate for Appendicitis. Graded compression ultrasound of the right lower quadrant will reveal a non-compressible, enlarged appendix. If the bowel wall layers, particularly the echogenic submucosa, are lost, it is suggestive of perforation. The Appendix is a small, pouch-like sac of tissue that is located in the first part of the colon (cecum) in the lower-right abdomen. Lymphatic tissue in the appendix aids in immune function. The official name of the appendix is a vermiform appendix, which means "worm-like appendage." The appendix harbors bacteria. The causative agents involved are gut masses, foreign bodies, trauma, intestinal worm infestation, lymphadenitis, and, most commonly, calcified fecal deposits that are known as appendicolith or fecalith. Inflammation may occur when the appendix becomes infected or blocked with stool, foreign objects, or a tumor. Appendicitis is a condition in which the appendix becomes inflamed, swollen, or infected, causing pain in the lower right side of the lower abdomen. This video shows the localization of the inflamed Appendix. A small amount of free fluid is also seen in the lower abdomen in this case. It is not easy to localize the appendix but once you practice it, it looks much easier. Practice makes a man perfect you know. An ultrasound is a painless procedure that uses sound waves to provide images to identify organs within the body. Ultrasound can identify an enlarged appendix or an abscess. Nevertheless, during appendicitis, an enlarged inflamed appendix or abscess can be seen in only 50% of patients. Applying compression during scanning improves the image quality by reducing the distance between the probe and the bowl. Signs and symptoms of appendicitis may include: Sudden pain begins on the right side of the lower abdomen. Sudden pain begins around your navel and often shifts to your lower right abdomen. Pain that worsens if you cough, walk, or make other jarring movements. Nausea and vomiting. Loss of appetite. What causes a rupture? The exact cause is unknown for sure, but it is thought it’s probably due to an infection that triggers inflammation inside Appendix. Classical symptoms of appendicitis include:- -Fever -Nausea and vomiting -Abdominal pain may start in the upper or middle abdomen but usually settles in the lower abdomen on the right side -Abdominal pain that increases with walking, standing, jumping, coughing, or sneezing -Decreased appetite -Constipation or diarrhea -Inability to pass gas -Bloated or swollen abdomen -Abdominal tenderness when you push on it that may worsen when you quickly stop pressing on it. The haustra (singular haustrum) of the colon are the small pouches caused by sacculation (sac formation), which give the colon its segmented appearance. The teniae coli runs the length of the colon. Haustral contractions are slow segmenting, uncoordinated movements that occur approximately every 25 minutes.