Apendicite / appendicitis

Apendicite / appendicitis


Greetings, my name is Jezreel, I am a radiologist and this is yet another video for students and health professionals and in this video we will talk about this image so this is our image it is an ultrasound made with a linear trsndutor in the right iliac fossa you notice the skin, subcutaneous tissue and abdominal wall muscles and we see this intestinal loop ending blindly here the longitudinal slice the white part is the submucosa the darkest part, more hipoecogênica, externally it’s muscle layer the dark part internally is the muscular layer of the mucosa and internally the mucous membrane and luminal content Here we have the iliac vein Note that this handle is very hipoecogênica (dark) observe that there is hyperechogenicity in the surrounding tissue the fat around the loop is hyperechogenic (whiter) this is a sign of inflammatory reaction compare here with a normal appendix here the muscles of the abdominal wall Here the handle note the same layer, however thin and observe the fatty tissue around the appendix compare the echogenicity of normal tissue with the echogenicity of this inflamed adipose tissue here is a distended, dilated appendix, more than 6 millimeters in diameter and hyperechogenicity of periapendicular fat a typical case of acute appendicitis here the cross section in the appendix and here a normal appendix cut transversely when you do the compression of the transducer in the abdominal wall the appendix colaba, this is normal here the slice was made with compression and the appendix did not collapse sign of acute appendicitis then we have a typical acute appendicitis appendix with a diameter greater than 6mm non-compressible appendix and hyperechogenic periapendicular adipose tissue all signs of inflammatory process

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