Right Lower Quadrant7 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.