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Journal of Ultrasound in Medicine, Vol 11, Issue 5 205-207, Copyright © 1992 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Acute appendicitis confined to the appendiceal tip: evaluation with graded compression sonography

H. V. Nghiem and R. B. Jeffrey Jr
Department of Radiology, Stanford University School of Medicine, CA 94305.

Focal appendicitis at the tip of the appendix has not been emphasized in the sonographic literature. We present the sonographic findings in four patients with pathologically confirmed acute appendicitis confined to the appendiceal tip. In all four patients, the base of the appendix had a normal appearance with maximal outer diameters measuring 4 to 6 mm. However, the inflamed tip was focally enlarged, measuring greater than 7 mm. The importance of a careful survey of the entire length of the appendix is emphasized to avoid a false-negative examination.


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