Sub-hepatic acute appendicitis - Diagnostic ultrasound cases скачать в хорошем качестве

Sub-hepatic acute appendicitis - Diagnostic ultrasound cases

Ultrasound features in appendicitis in addition to sonographic point tenderness include a distended appendix (more than 6mm), noncompressible, presence of faecolith, periappendiceal fluid, and increased vascularity on Doppler imaging. Occasionally it can be difficult to demonstrate the appendix particularly when retrocaecal. In these instances, following an indeterminate US, CT in child who remains unwell may well demonstrate the appendicitis and associated complications. During development the appendix is formed in the normal rotated gut as a bud from the caecal swelling which initially lies in the subhepatic space. In the ensuing weeks the caecum swelling descends into the right iliac fossa forming the ascending colon and hepatic flexure subsequently the appendix can lie from the subhepatic space to right side of the pelvis with approximately 50% being retrocaecal in position.