Acute appendicitis with contained perforation

47 yr male presented with acute vomiting and abdominal pain.

Ultrasound findings

• Appendix is thickened measuring 10 mm in maximum diameter.
• Mild periappendiceal inflammatory fat stranding noted.
• Focal wall defect measuring 3.8 mm noted near tip of appendix with adjacent contained collection of 5 x 5 mm.
• No evidence of abscess.
• Features suggestive of acute appendicitis with contained perforation.

Shared for knowledge sharing. Patient details have been removed. This is not medical advice.