Acute appendicitis in children: value of sonography in detecting perforation.

Acute appendicitis in children: value of sonography in detecting perforation. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Acute appendicitis in children: value of sonography in detecting perforation. Abstract Text:

S P Quillin,M J Siegel,C M Coffin,

OBJECTIVE. We determined the sonographic features of perforating appendicitis in children in order to determine the best criteria for establishing the diagnosis. MATERIALS AND METHODS. Sonograms of the right lower quadrants of 71 children with proved appendicitis were reviewed to determine the value of sonography in distinguishing between nonperforating and perforating appendicitis. The sonographic signs evaluated included the presence or absence of an appendix, an echogenic submucosal layer, increased periappendiceal echogenicity, free or loculated periappendiceal or pelvic fluid collections, and appendicoliths. The sonographic findings were correlated with the surgical and pathologic findings. RESULTS. Forty-five patients had nonperforating appendicitis, and 26 had perforating appendicitis. A sonographically visible appendix was present in all patients with nonperforating appendicitis and in 10 (38%) of 26 patients with perforation. An echogenic submucosa was noted in 27 (60%) of 45 patients with uncomplicated appendicitis but in only three (30%) of 10 patients with a visible appendix and perforating appendicitis (p < .05). In 19 of 26 patients with perforating appendicitis, sonography showed loculated periappendiceal or pelvic fluid collections; no patient with nonperforating appendicitis had a loculated fluid collection (p < .05). No statistically significant association was found between the presence or absence of perforation and free pelvic fluid, prominent periappendiceal fat, or an appendicolith. CONCLUSION. Our results indicate that sonography can be helpful in the diagnosis of perforating appendicitis. The best predictors of perforation are absence of the echogenic submucosal layer and the presence of a loculated fluid collection.

Acute appendicitis in children: value of sonography in detecting perforation. Publishing Authors By Initials

SP Quillin,MJ Siegel,CM Coffin,

For similar pathological conditions, signs and symptoms: pathological conditions, anatomical: rupture, spontaneous research abstracts see: pathological conditions, signs and symptoms: pathological conditions, anatomical: rupture, spontaneous research

PUBMED ID PMID:

MEDLINE DATE:

Acute appendicitis in children: value of sonography in detecting perforation. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 159

Page Numbers: 1265-8

Journal Abbreviation:

ISSN: 0361-803X

DAY: 15

MONTH: Dec

YEAR: 1992

Acute appendicitis in children: value of sonography in detecting perforation. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7708173

Acute appendicitis in children: value of sonography in detecting perforation. Keywords Mesh Terms:

KEYWORDS: Rupture, Spontaneous

MESH TERMS: ultrasonography

Chemical & Substance for Abstract: Acute appendicitis in children: value of sonography in detecting perforation. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Acute appendicitis in children: value of sonography in detecting perforation.

AFFILIATION: Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.

Country: UNITED STATES

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: AJR Am J Roentgenol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Acute appendicitis in children: value of sonography in detecting perforation Related Publications

• A 6-year-old child with Fever of unknown origin, anemia, and abdominal pain.
• ANTIBIOTIC COVER FOR DENTAL EXTRACTIONS.
• Acute appendicitis in children: value of sonography in detecting perforation.
• Arsenic exposure in pregnant mice disrupts placental vasculogenesis and causes spontaneous abortion.
• Clinical studies of psychoses in the Navy; prediction values of social histories and the Harrower-Erickson test.
• Effects of pyrimethamine on the antibacterial activity of certain compounds in vitro.
• Effects of therapeutic doses of lactulose vs. polyethylene glycol on isotopic colonic transit.
• Efficient delivery of RNA Interference to peripheral neurons in vivo using herpes simplex virus.
• Electro-narcosis.
• FORWARD OSTEOTOMY AND BONE GRAFT.
• Gastroesophageal reflux in patients with morbid obesity: a role of obstructive sleep apnea syndrome?
• Geomicrobial characterization of gas hydrate-bearing sediments along the mid-Chilean margin.
• Highly fit ancestors of a partly sexual haploid population.
• Host-retrovirus arms race: trimming the budget.
• Increasing sequence correlation limits the efficiency of recombination in a multisite evolution model.
• Neurologic complications in children hospitalized with influenza: characteristics, incidence, and risk factors.
• Observational trial of antibiotic-coated central venous catheters in critically ill pediatric patients.
• On anaesthetising children for dentistry.
• Pediatric nonrhabdomyosarcoma soft tissue sarcomas.
• Prevalence and predictive factors of non-alcoholic steatohepatitis (NASH) in morbidly obese patients undergoing bariatric surgery.
• Reducing patient risk for human papillomavirus infection and cervical cancer.
• Relationship between rectal sensitivity, symptoms intensity and quality of life in patients with irritable bowel syndrome.
• Role of APOBEC3 in genetic diversity among endogenous murine leukemia viruses.
• Strategic placement. Addressing the data explosion in healthcare requires a sound strategy for turning data into information.
• Surgery for prosthetics.
• The pathology of so-called acute tonsillitis of dogs in relation to contagious canine hepatitis (Rubarth) a report of five cases.
• The trace metal content of a representative Canadian diet in 1972.
• Transitional angiogenesis and vascular remodeling during coronary angiogenesis in response to myocardial infarction.
• [Diarrhea predominant irritable bowel syndrome]
• [Not Available.]