Differential diagnosis of lower abdominal pain
| Diagnosis | Sonographic signs | |
| Common Appendicitis Diverticulitis Less common Hernia Renal colic Rare Epiploic appendagitis Urinary retention Adnexitis Torsion of an ovarian cyst Tubal rupture Testicular torsion | Abnormal target pattern, typical layered wall structure Thickened, hypoechoic bowel wall; partial acoustic shadow from trapped air Hernia sac with wall-thickened bowel loops Obstructed, anechoic pyelocalyceal system, twinkling artifact Fat necrosis of an epiploic appendix Strongly distended bladder; obstructed, anechoic renal pelvis Mixed cystic and solid mass, wall thickening Unilateral ovarian enlargement with a cystic mass Enlarged uterus, parauterine free fluid Enlarged, isoechoic testis, hydrocele |
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