Abstract
An 18-year-old young man with no medical history presented at the emergency department with nausea, vomiting and pain in the right iliac fossa and the periumbilical region. Blood analysis was normal except for an elevated C-reactive protein (CRP) of 64 mg/L
Highlights
High frequency gray-scale sonogram was performed and showed a normal presentation of the appendix
Diverticulitis can mimic appendicitis clinically and on sonography the inflamed Meckel's diverticulum can be wrongly interpreted as an abnormal cecal appendix
A duplication cyst usually has a smooth internal wall, compared with the irregular internal wall and the more tubular structure of an inflamed Meckel’s diverticulum.The presence of air inside the Meckel's diverticulum and its mobility during the peristaltic activity of the adjacent bowel loops can give the Meckel's diverticulum an appearance that is similar to the rest of the intestine
Summary
High frequency gray-scale sonogram was performed and showed a normal presentation of the appendix. A tubular hypo-echogenic structure (length of 3 cm, width of 1 cm) with a cystlike center and an irregular thickened wall was discovered in the right periumbilical region (Fig. A). Color Doppler sonogram reveals a hypervascular wall (Fig. B) and infiltration of the surrounding mesenteric fat arrow in Fig. A and B).
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