7 year old with abdominal pain

7 year old child with abdominal pain presented with pain, nausea.  Noted to be febrile.  RLQ tender.  Linear transducer applied to point of maximal tenderness. 

 

Image attached was obtained.

 

Ultrasound revealed a non-compressible tubular structure in the right lower quadrant.  Findings were conveyed to the surgical consultant which facilitated rapid confirmation by radiology ultrasound study and early operative intervention.