| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Radiology, Vol 176, 501-504, Copyright © 1990 by Radiological Society of North America
ARTICLES |
F Vignault, D Filiatrault, ML Brandt, L Garel, A Grignon and A Ouimet
Department of Radiology, Hopital Ste-Justine, Montreal, Que., Canada.
During a 4-month period, high-resolution ultrasonography (US) was used to prospectively evaluate 70 children with clinically suspected acute appendicitis. Thirty-five US scans showed a noncompressible appendix with maximal outer diameters greater than 6 mm. This finding was considered positive for the diagnosis of acute appendicitis. Thirty-one of these 35 patients had acute appendicitis documented by surgical and pathologic findings. The remaining four patients were observed, and their symptoms resolved. Thirty-five patients had US scans considered negative for appendicitis. Seventeen of these patients had US findings positive for other conditions including mesenteric adenitis, ileitis, intussusception, Crohn disease, and Burkitt lymphoma. In this series US enabled diagnosis of acute appendicitis with a sensitivity of 94%, a specificity of 89%, and a predictive accuracy of 91%. Diagnosis of acute appendicitis can be made with US with the same accuracy in children as has been previously reported in series of adult patients. The use of US in clinically ambiguous cases may allow earlier diagnosis, prevention of perforation, and decreased complications in the pediatric patient with acute appendicitis.
This article has been cited by other articles:
|
|
 |
|
  N H Park, C S Park, E J Lee, M S Kim, J A Ryu, J M Bae, and J S Song Ultrasonographic findings identifying the faecal-impacted appendix: differential findings with acute appendicitis Br. J. Radiol., November 1, 2007; 80(959): 872 - 877. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 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]
|
|
|
|
|
|
J. H. Lee, Y. K. Jeong, K. B. Park, J. K. Park, A. K. Jeong, and J. C. Hwang Operator-Dependent Techniques for Graded Compression Sonography to Detect the Appendix and Diagnose Acute Appendicitis Am. J. Roentgenol., January 1, 2005; 184(1): 91 - 97. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. W. Lardenoye, J. B. Puylaert, M. J. Smit, and H. C. Holscher Appendix in Children with Cystic Fibrosis: US Features Radiology, July 1, 2004; 232(1): 187 - 189. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kaiser, T. Finnbogason, H. K. Jorulf, E. Soderman, and B. Frenckner Suspected Appendicitis in Children: Diagnosis with Contrast-enhanced versus Nonenhanced Helical CT Radiology, May 1, 2004; 231(2): 427 - 433. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Benjaminov, M. Atri, P. Hamilton, and D. Rappaport Frequency of Visualization and Thickness of Normal Appendix at Nonenhanced Helical CT Radiology, November 1, 2002; 225(2): 400 - 406. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P J Shorvon Imaging of appendicitis: a cautionary note Br. J. Radiol., September 1, 2002; 75(897): 717 - 720. [Full Text] [PDF]
|
|
|
|
|
|
V. Simonovsky Normal Appendix: Is There Any Significant Difference in the Maximal Mural Thickness at US between Pediatric and Adult Populations? Radiology, August 1, 2002; 224(2): 333 - 337. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kaiser, B. Frenckner, and H. K. Jorulf Suspected Appendicitis in Children: US and CT— A Prospective Randomized Study Radiology, June 1, 2002; 223(3): 633 - 638. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. I. Han Improved Sonographic Visualization of the Appendix With a Saline Enema in Children With Suspected Appendicitis J. Ultrasound Med., May 1, 2002; 21(5): 511 - 516. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-H. Lee, Y. K. Jeong, J. C. Hwang, S. Y. Ham, and S.-O. Yang Graded Compression Sonography with Adjuvant Use of a Posterior Manual Compression Technique in the Sonographic Diagnosis of Acute Appendicitis Am. J. Roentgenol., April 1, 2002; 178(4): 863 - 868. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Simonovsky, T. Rettenbacher, A. Hollerweger, P. Macheiner, L. Rettenbacher, F. Tomaselli, B. Schneider, and N. Gritzmann The Specificity of Appendiceal Outer Diameter at US Dr Rettenbacher and colleagues respond: Radiology, September 1, 2001; 220(3): 828 - 830. [Full Text] [PDF]
|
|
|
|
|
|
K. E. Applegate, C. J. Sivit, A. E. Salvator, V. J. Borisa, D. L. Dudgeon, A. E. Stallion, and E. R. Grisoni Effect of Cross-sectional Imaging on Negative Appendectomy and Perforation Rates in Children Radiology, July 1, 2001; 220(1): 103 - 107. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Rettenbacher, A. Hollerweger, P. Macheiner, L. Rettenbacher, F. Tomaselli, B. Schneider, and N. Gritzmann Outer Diameter of the Vermiform Appendix as a Sign of Acute Appendicitis: Evaluation at US Radiology, March 1, 2001; 218(3): 757 - 762. [Abstract] [Full Text]
|
|
|
|
 |
|
 C. J. Sivit, M. J. Siegel, K. E. Applegate, and K. D. Newman When Appendicitis Is Suspected in Children RadioGraphics, January 1, 2001; 21(1): 247 - 262. [Abstract] [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]
|
|
|
|
 |
|
 T. F. Tracy and F. M. Graeme-Cooke Case 21-2000- A 13-Year-Old Boy with Genital Edema and Abdominal Pain N. Engl. J. Med., July 13, 2000; 343(2): 127 - 133. [Full Text] [PDF]
|
|
|
|
|
|
T. Rettenbacher, A. Hollerweger, P. Macheiner, L. Rettenbacher, R. Frass, B. Schneider, and N. Gritzmann Presence or Absence of Gas in the Appendix: Additional Criteria to Rule Out or Confirm Acute Appendicitis-Evaluation with US1 Radiology, January 1, 2000; 214(1): 183 - 187. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
