Usefulness of Measurement of the Outer Appendiceal Diameter on Abdominal Computer Tomography in the Diagnosis of Acute Appendicitis

A 71-year-old man was admitted to our hospital with a hard, irreducible, and enlarged right inguinal mass with a diameter of 1-cm. Ultrasonography (US) revealed a saccular structure 2.5-cm in diameter that stemmed from the abdominal cavity containing a tubular organ with a blind tip, net-like area, and anechoic area ; these features were identified as the appendix, greater omentum, and ascites, respectively. US also revealed a wall deficit in the appendix, while color Doppler imaging showed an absence of blood flow at the distal appendix. Perforated appendicitis was suspected, and surgery was performed 25-hours after clinical presentation. Surgery revealed an appendiceal perforation and abscess in the hernial sac, which were treated via appendectomy followed by McVay repair. Our case findings reveal that US is a useful tool for diagnosing De Garengeot hernia and identifying perforated appendicitis.

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A Case of De Garengeot Hernia and Perforated Appendicitis Diagnosed by Ultrasonography

Imataki

Miyake

Nagai

et al. 2021

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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Prognostic Factors for Predicting Recurrence of Cases of Acute Appendicitis Undergoing Conservative Therapy

Mukouda

Naitoh

Gotoh

et al. 2011

Jpn J Gastroenterol Surg

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Usefulness of Measurement of the Outer Appendiceal Diameter on Abdominal Computer Tomography in the Diagnosis of Acute Appendicitis

Cited by 2 publications

References 14 publications

A Case of De Garengeot Hernia and Perforated Appendicitis Diagnosed by Ultrasonography

A Case of De Garengeot Hernia and Perforated Appendicitis Diagnosed by Ultrasonography

Prognostic Factors for Predicting Recurrence of Cases of Acute Appendicitis Undergoing Conservative Therapy

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