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Appendicular Abscess || Ultrasound || Case 332

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Clinical Features:
11-year-old female patient came with severe right lower abdominal pain.

Ultrasound Features:
- Right iliac fossa shows an irregular thick-walled complex collection with internal low-level echoes.
- Vermiform appendix is not separately visualized.
- Surrounding thickened fat layer is seen.
- Adjacent bowel loops show sluggish movements.
- Color Doppler shows prominent perilesional vascularity.
- The lesion compresses adjacent psoas muscle with no intrapsoas abnormality at present.
- Adjacent multiple prominent lymph nodes are seen.

Remember:
Peritoneal collection adjacent to a gangrenous appendix or abscess may suggest perforation.

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