Gastrointestinal Radiology

, Volume 12, Issue 1, pp 163–165 | Cite as

Sonography of appendiceal intussusception

  • Dean D. T. Maglinte
  • Arthur C. Fleischer
  • Gonzalo T. Chua
  • Frederick M. Kelvin


A case in which appendiceal intussusception was diagnosed preoperatively by sonography is described. The sonographic finding of multiple concentric hypoechoic and hyperechoic rings was confirmed at laparotomy to be due to appendiceal intussusception. Demonstration of the sonographic coiled spring sign in the right lower quadrant should raise the possibility of appendiceal intussusception. The differential diagnosis is discussed.

Key words

Appendix, intussusception Appendix, ultrasound 


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  1. 1.
    Deutsch A, Leopold GR: Ultrasonic demonstration of the inflamed appendix: case report.Radiology 140:163–164, 1981Google Scholar
  2. 2.
    Parulekar SG: Ultrasonographic findings in diseases of the appendix.J Ultrasound Med 2:59–64, 1983Google Scholar
  3. 3.
    Puylaert JBCM: Acute appendicitis: US evaluation using graded compression.Radiology 158:355–360, 1986Google Scholar
  4. 4.
    Fink VH, Santos AL, Goldberg SL: Intussusception of the appendix: case reports and review of the literature.Am J Gastroenterol 42:431–441, 1964Google Scholar
  5. 5.
    Howard RJ, Ellis CM, Delaney JP: Intussusception of the appendix simulating carcinoma of the cecum.Arch Surg 101:520–522, 1970Google Scholar
  6. 6.
    Levine M, Trenkner SW, Herlinger H, Mishkin JD, Reynolds JC: Coiled-spring sign of appendiceal intussusception.Radiology 155:41–44, 1985Google Scholar
  7. 7.
    Weissberg DL, Scheible W, Leopold GR: Ultrasonographic appearance of adult intussusception.Radiology 142:791–792, 1977Google Scholar
  8. 8.
    Holt S, Samuel E: Multiple concentric ring sign in the ultrasonographic diagnosis of intussusception.Gastrointest Radiol 3:307–309, 1978Google Scholar
  9. 9.
    Fakhry JR, Berk RN: The “target” pattern: characteristic sonographic features of stomach and bowel abnormalities.AJR 137:969–972, 1981Google Scholar
  10. 10.
    Yeh H-C, Rabinowitz JG: Ultrasonography of gastrointestinal tract.Semin Ultrasound 3:331–347, 1982Google Scholar
  11. 11.
    Fleischer A, Muhletaler C, James AE Jr: Sonographic assessment of the bowel wall.AJR 136:887–891, 1981Google Scholar
  12. 12.
    Demos TC, Flisak ME: Coiled-spring sign of the cecum in acute appendicitis.AJR 146:45–48, 1986Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1987

Authors and Affiliations

  • Dean D. T. Maglinte
    • 1
  • Arthur C. Fleischer
    • 2
  • Gonzalo T. Chua
    • 1
  • Frederick M. Kelvin
    • 1
  1. 1.Departments of RadiologyMethodist Hospital of Indiana, and the Indiana University School of MedicineIndianapolis
  2. 2.Department of Radiology and Radiological SciencesVanderbilt University School of MedicineNashvilleUSA

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