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Ultrasonography for diagnosis of appendicitis in children

  • Ramazan KarabulutEmail author
  • Zafer Turkyilmaz
  • Kaan Sonmez
Letter to the Editor
  • 32 Downloads

Dear Editor

We read with great interest the article by Held et al. about “The non-visualized appendix and secondary signs on ultrasound for pediatric appendicitis in the community hospital setting. Pediatr Surg Int. 2018 Dec; 34(12):1287–1292” [1]. Graded compression ultrasound is considered diagnostic of appendicitis if it demonstrates a non-compressible, blind-ending structure in the right lower quadrant (RLQ) that is greater than 6 mm in diameter [2]. Failure to visualize the appendix or a non-visualized appendix (NVA) occurs with 20–60% of right lower quadrant US performed in children [1, 3]. Held et al. stated that “Secondary signs of inflammation including free fluid, ileus, fat stranding, abscess, and lymphadenopathy attributable to appendicitis on ultrasound may aid with diagnosis in the setting of a NVA. Six hundred and seventeen ultrasounds were reviewed; 470 of these had a NVA. Of NVAs, 47 (10%) patients were diagnosed with appendicitis. According to Held et al.,...

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Conflict of interest

The authors have no conflict of interest to disclose.

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This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    Held JM, McEvoy CS, Auten JD, Foster SL, Ricca RL (2018) The non-visualized appendix and secondary signs on ultrasound for pediatric appendicitis in the community hospital setting. Pediatr Surg Int 34(12):1287–1292CrossRefGoogle Scholar
  2. 2.
    Puylaert JB (1986) Acute appendicitis: US evaluation using graded compression. Radiology 158(2):355–360CrossRefGoogle Scholar
  3. 3.
    Nah SA, Ong SS, Lim WX, Amuddhu SK, Tang PH, Low Y (2017) Clinical relevance of the nonvisualized appendix on ultrasonography of the abdomen in children. Biomed Res Int 182:164–169.e161Google Scholar
  4. 4.
    Thirumoorthi AS, Fefferman NR, Ginsburg HB, Kuenzler KA, Tomita SS (2012) Managing radiation exposure in children—reexamining the role of ultrasound in the diagnosis of appendicitis. J Pediatr Surg 47(12):2268–2272CrossRefGoogle Scholar
  5. 5.
    Karabulut R, Turkyilmaz Z, Sonmez K, Seref K, Poyraz A, Oktar SO, Basaklar AC (2016) Comparison of preoperative ultrasonography and pathology results of patients undergoing appendectomy. Ann Colorectal Res 4(2):e36712CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Ramazan Karabulut
    • 1
    Email author
  • Zafer Turkyilmaz
    • 1
  • Kaan Sonmez
    • 1
  1. 1.Department of Pediatric SurgeryGazi University Medical FacultyBesevlerTurkey

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