False Positive Appendicitis on Bedside Ultrasound

CASE A 27-year-old woman presented with sharp, right lower quadrant abdominal pain for six hours. The pain was colicky, non-migratory, and non-radiating. She reported fevers, anorexia and nausea, and denied dysuria or hematuria. She had no significant past medial history or prior surgeries. Vital signs were notable for a pulse of 110 and an oral temperature of 39.3°C. She had tenderness in her right costovertebral angle and McBurney’s point. She had no rebound or guarding. White count was 16.6 x 109/L and point-of-care urine pregnancy test was negative. Bedside ultrasound with a 10-5Mhz linear transducer was performed at the point of maximal tenderness (Video).