May 2014

Abnormal structure anterior of the right liver lobe

Bookmark

Clinical information

Patient was admitted to the hospital with pain in the right upper abdomen. There are raised infection parameters. The referring physician wanted us to confirm a cholecystitis. However because she had had an operation for her choledochal cyst we presumed the gallbladder was also removed.
Note: This is the same patient as Case of the Month - August 2005

Ultrasound Images & Clips

Abnormal structure anterior of the right liver lobe

Abnormal tubular structure anterior of the right liver lobe

In the other direction the structure is rounded

Another image of the tubular structure anterior of the liver. Does this look like a cholecystitis?

A larger image of the tubular structure

The structure is rounded. What would be your diagnosis if the structure was in the right lower abdomen

There is an appendiculith in the structure

There is some increased vascularity of the wall

video

This is another case of an appendicitis anterior inferior of the liver

transverse image

A few days later she sill has pain a control examination shws a small effusion

The left kidney is not dilatated

The right ureter is dilatated and ends in a small ureteric stone

X ray of the ureteric stone

Conclusion

Always remember an appendix is commonly but not always positioned in the right lower abdomen. An ectopic lying inflamed appendix can cause clinical confusing symptoms.
Also remember that in incidental cases there can be more than one problem.

Details

Sex: Female
Age: 29

Created with

Fujifilm Ultrasound System

Browse through our ultrasound product portfolio

Looking for MSK Ultrasound Education? Visit Sonoskills.com

Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

More Cases from Taco Geertsma

[{"listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum","id":63},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system","id":64},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology","id":65},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck","id":66},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla","id":67},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons","id":68},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft tissues","id":69},{"listLocation":"thorax","icon":"008-thorax-white.svg","header":"Thorax","id":70},{"listLocation":"pediatrics","icon":"009-pediatrics-white.svg","header":"Pediatrics","id":71},{"listLocation":"peripheral-vessels","icon":"010-peripheral-vessels-white.svg","header":"Peripheral vessels","id":72}]