Si patient jeune, enfant, femme, mince, compliant : faire échographie ciblée en 1ère intention.
Sonde superficielle
Puis sonde abdominale
Ensuite ou à la place : scanner abdomino pelvien
Temps portal d’emblée si patient jeune et pas d’arrière pensée
Sinon faire 3 temps
Signes d’appendicite
Diamètre > 6 mm
Inflammation de la graisse péri-appendiculaire
Stercolithe
Hyperhémie en Doppler énergie
Exemples d’appendicite AIGUË
ECHOGRAPHIE
Appendicite aigue
Appendicite aigue
Appendicite aigue
Appendicite aigue
SCANNER
Appendicite aigue
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