Department of Emergency Medicine

UMEM Educational Pearls

Title: Pediatric ultrasound and appendicitis (submitted by Katherine Baugher, DO) - part 2

Category: Pediatrics

Posted: 4/26/2013 by Mimi Lu, MD (Updated: 5/24/2013)
Click here to contact Mimi Lu, MD

Ultrasound findings of appendicitis

  • noncompressible appendix with an outer diameter in any portion > 6mm
  • appendicolith
  • hyperechoic periappendiceal fat
  • loss of echogenic submucosal layer
  • increased blood flow of the appendix on color Doppler ultrasound scanning
  • periappendiceal collections seen in the absence of a visualized abnormal appendix

Ultrasound images:
http://www.youtube.com/watch?v=d9jKM6x52nk
http://sonocloud.org/watch_video.php?v=MWHM3D7KD25H
http://sonocloud.org/watch_video.php?v=54862AYWGHGA


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