Endoscopic treatment for acute appendicitis with coexistent acute pancreatitis: Two case reports

Figure 1 On-contrast computed tomography manifestations and Doppler ultrasound of Case 1. A: On-contrast computed tomography manifestations showing features of acute pancreatitis with extensive peripancreatic fat stranding; B: Abdominal color Doppler ultrasound showing a dilated and thickened appendix.

Figure 2 B-ultrasound of Case 2 showed the dilated appendiceal cavity with the presence of cord-like sediments inside.

Figure 3 Course of treatment in Case 1. A: Conical transparent cap fixed to the appendiceal opening; B: Retrograde appendicography performed during endoscopic retrograde appendicitis treatment; C: Flushing of the appendix showed pus outflow.

Figure 4 Course of treatment in Case 2. A: B-ultrasound showing the intestinal lens-end of the tapered cap; B: The tapered transparent cap at the lens-end of the intestine enters the opening of the appendix; C: Flushing of the appendix showed pus outflow; D: Irrigation of the appendiceal cavity under ultrasound guidance.