A 19-year-old female patient presented to the emergency room with a history of abdominal pain, nausea and vomiting for the past 2 days. The physician suspected the possibility of appendicitis and performed a POCUS examination. The following view was obtained. What is the diagnosis?
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- Intussusception
- Normal appendix diameter of less than 2.0 cm
- Acute appendicitis as maximal diameter of the appendix at the widest point was more than 0.6 cm or 6 mm
Explanation
The mid longitudinal view of the appendix shows a dilated appendix with a diameter of 1.36 cm or 13.6 mm. The diameter is more than 6 mm, thus consistent with a diagnosis of acute appendicitis. Always measure from outer wall to outer wall as shown in the image.
