|
Journal of Ultrasound in Medicine, Vol 11, Issue 5 209-216, Copyright © 1992 by American Institute of Ultrasound in Medicine
Sonography of acute appendicitis in childhood: perforation versus nonperforation
C. K. Hayden Jr, J. Kuchelmeister and T. S. Lipscomb
Department of Pediatric Radiology, Cook-Fort Worth Children's Medical Center, TX 76104.
We evaluated the sonographic findings in 133 consecutive children referred
for suspected appendicitis. Fifty-eight of these patients (44%) ultimately
underwent surgery, with 54 of these proved to have acute appendicitis.
Thirty-one (58%) of the 54 had nonperforated appendicitis, and 23 (43%) had
evidence of perforation. Previously described sonographic findings that
have been employed in the diagnosis of appendicitis were evaluated, with
the presence or absence of these findings being compared in patients with
non-perforated and perforated appendicitis. In those patients who did not
undergo surgery, the following findings were documented and compared to the
findings in patients with proved appendicitis: (1) an identifiable appendix
and its sonographic characteristics, (2) fluid localized to the right
peritoneal reflection or periappendiceal region, or both, (3) free pelvic
fluid, and (4) right lower quadrant adenopathy. Our results suggest that
high-resolution, real-time sonography, using graded compression, is very
sensitive in the identification of acute nonperforated appendicitis.
Perforated appendicitis, however, can be a more difficult diagnosis because
the appendix frequently decompresses with perforation and yet may not "wall
off" or form a well-defined abscess. As a result, the appendix can be very
difficult to identify.
This article has been cited by other articles:
|
|
|
|
 
A. S. Doria, R. Moineddin, C. J. Kellenberger, M. Epelman, J. Beyene, S. Schuh, P. S. Babyn, and P. T. Dick
US or CT for Diagnosis of Appendicitis in Children and Adults? A Meta-Analysis
Radiology,
October 1, 2006;
241(1):
83 - 94.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. Pinto Leite, J. M. Pereira, R. Cunha, P. Pinto, and C. Sirlin
CT Evaluation of Appendicitis and Its Complications: Imaging Techniques and Key Diagnostic Findings
Am. J. Roentgenol.,
August 1, 2005;
185(2):
406 - 417.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Cherniavsky, P. Crystal, and Y. Barki
Sonography of Acute Appendicitis in a 9-Month-Old Infant
J. Ultrasound Med.,
June 1, 2004;
23(6):
865 - 867.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. J. Sivit, K. E. Applegate, A. Stallion, D. L. Dudgeon, A. Salvator, M. Schluchter, S. C. Berlin, M. T. Myers, V. J. Borisa, D. M. Weinert, et al.
Imaging Evaluation of Suspected Appendicitis in a Pediatric Population: Effectiveness of Sonography Versus CT
Am. J. Roentgenol.,
October 1, 2000;
175(4):
977 - 980.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. J. Sivit, D. L. Dudgeon, K. E. Applegate, V. J. Borisa, S. C. Berlin, S. C. Morrison, M. T. Myers, D. M. Weinert, A. Stallion, and E. R. Grisoni
Evaluation of Suspected Appendicitis in Children and Young Adults: Helical CT
Radiology,
August 1, 2000;
216(2):
430 - 433.
[Abstract]
[Full Text]
|
|
|
|
|
