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Journal of Medical Ultrasonics

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1988 - Vol.15

Vol.15 No.06

Case Report(症例報告)

(0518 - 0523)


A Case of Carcinoma of the Appendix: The Usefulness of Ultrasonic Diagnosis

小野 成樹1, 森安 史典1, 伴 信之1, 中村 武史1, 玉田 尚1, 川崎 俊彦1, 山下 幸孝1, 木村 達1, 内野 治人1, 小澤 和恵2

Shigeki ONO1, Fuminori MORIYASU1, Nobuyuki BAN1, Takefumi NAKAMURA1, Takashi TAMADA1, Toshihiko KAWASAKI1, Yukitaka YAMASHITA1, Satoru KIMURA1, Haruto UCHINO1, Kazue OZAWA2

1京都大学医学部第一内科, 2京都大学医学部第二外科

1The First Department of Internal Medicine, Faculty of Medicine, Kyoto University, 2The Second Department of Surgery, Faculty of Medicine, Kyoto University

キーワード : Carcinoma of the appendix, Ultrasonography

A case of carcinoma of the appendix in a 30-year-old man was reported. He was admitted to hospital with slight fever and acute pain in the right lower quadrant of the abdomen. Appendicitis was suspected.
Ultrasonography, however, showed the appendix to have an irregularly-shaped high-echoic mass area surrouded by a low level area, and carcinoma of the appendix was therefore suspected. CT scan, barium enema study, colonofiberscopy and angiography also suggested a diagnosis of carcinoma, which was confirmed by surgery. Ultra-sonography of the appendix provided findings helpful in differentiating between acute appendicitis and carcinoma of the appendix.