PMC4922061_01
Ultrasonography of the abdomen. An ultrasound-triggered suspicion of acute appendicitis was based on the free liquid around the terminal ileum, the intestinal cockade sign and the increase of the wall thickness of the proximal appendix to 3 mm. D1 (2.7 mm) ist equal to the increased wall thickness with weak echo signal intensity. D2 (6.8 mm) is equal to the diameter of the inflamed appendix in its proximal part
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Fig1
Further, an intestinal cockade sign was visible, and the size of the appendix wall was increased to 3 mm (Fig. 1).
Intraoperative situs with an inflamed phlegmonous appendix. The suboptimal shooting angle and range make the observation of the anatomical relations difficult, which reflects the real-life surgical situation
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Fig2
Laparoscopic surgical intervention allowed for the extirpation of an inflamed, phlegmonous appendix (Fig. 2).