Appendicitis Diagnosed by Emergency Physician Transvaginal Ultrasound: Case Series
- Author(s): Bramante, Robert M;
- Radomski, Marek;
- Nelson, Mathew;
- Raio, Christopher
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2012.12.14430
Lower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonography revealed acute appendicitis. The discussion focuses on the use of EP-performed transvaginal US in gynecologic and intra-abdominal pathology and discusses the use of a staged approach to evaluation using US and computed tomography, as indicated. [West J Emerg Med. 2013;14(5):415-418.]