Diagnosis of Appendicitis by Ultrasound

  • Julien B. C. M. Puylaert


The sonographic hallmark of appendicitis is direct visualization of the inflamed appendix. The classic appearance is that of a concentrically layered, small, sausagelike structure found at the point of tenderness (Fig. 5.1). At one end the appendix is blind (Fig. 5.2), and at the other end it is seen attached to the caecal pole, usually at its posteromedial aspect (Fig. 5.3). Since the appendix usually lies in a curve, US may yield all cross sections imaginable (Fig. 5.4). Real-time imaging of a curved appendix may show a typical phenomenon (Fig. 5.5).


Iliac Artery Acute Appendicitis Abscess Cavity Pigtail Catheter Perforated Peptic Ulcer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • Julien B. C. M. Puylaert
    • 1
  1. 1.Department of RadiologyWe stein de HospitalThe HagueNetherlands

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