Ultrasound Diagnosis of Acute Appendicitis in Children (Case Reports)
DOI:
https://doi.org/10.61699/cjmps-v3-i1-2-p45-54Keywords:
Acute appendicitis, ultrasonographic evaluation, childrenAbstract
Acute appendicitis (AA) is one of the most common causes of acute abdomen in children. Diagnosis of AA is still challenging. Delayed or missed diagnosis can lead to severe complications, including sepsis and even death. Ultrasound has been considered an option for the evaluation of suspected appendicitis in children; it is recommended as the first modality of choice for all age groups, especially in children, because of its safety. Timely and accurate ultrasonographic evaluation significantly contributes to early diagnosis and proper surgical management. We present the history of the disease and diagnostic value of ultrasound in children and three case reports of acute appendicitis: a 7-year-old male presented with right lower quadrant pain and fever, a 9-year-old male with nausea, vomiting, and lower abdominal pain and an 11-year-old female exhibited diffuse abdominal tenderness are presented
References
Aarabi S, Sidhwa F, Riehle KJ,Chen Q, Mooney DP. Pediatricappendicitis in New England:epidemiology and outcomes. JPediatr Surg. 2011;46(6):1106-1114. doi:10.1016/j.jpedsurg.2011.03.039
Abu-Zidan FM, Cevik AA. Diagnosticpoint-of-care ultrasound (POCUS)for gastrointestinal pathology:state of the art from basics toadvanced. World J Emerg Surg.2018;13:47. Published 2018 Oct 15.doi:10.1186/s13017-018-0209-y
Babington Emmanuel Abiola.Ultrasound Imaging ofAppendicitis. Appendicitis - Causesand Treatments. / Elroy Weledji.Published: 11 January 2023 DOI:10.5772/intechopen.1000840
Bhangu A, Søreide K, Di SaverioS, Assarsson JH, Drake FT.Acute appendicitis: modernunderstanding of pathogenesis,diagnosis, and management[published correctionappears in Lancet. 2017 Oct14;390(10104):1736. doi: 10.1016/S0140-6736(17)31502-7.].Lancet. 2015;386(10000):1278-1287. doi:10.1016/S0140-6736(15)00275-5
Boonstra PA, van Veen RN,Stockmann HB. Less negativeappendectomies due toimaging in patients withsuspected appendicitis. SurgEndosc. 2015;29(8):2365-2370.doi:10.1007/s00464-014-3963-2
Castro BA, Novillo IC, Vázquez AG,Garcia PY, Herrero EF, Fraile AG.IMPACT OF THE APPENDICEALPOSITION ON THE DIAGNOSISAND TREATMENT OF PEDIATRICAPPENDICITIS [published correctionappears in Rev Paul Pediatr.2020 Jan 17;38:e00012erratum.doi: 10.1590/1984-0462/;2019;37;2;00012erratum..Novillo, Indalecio Can [correctedto Novillo, Indalecio Cano]. RevPaul Pediatr. 2019;37(2):161-165. doi:10.1590/1984-0462/;2019;37;2;00012
Clayton M, Philo R. Leonardo daVinci Anatomist. Royal CollectionPublications, London, 2012
Coyne SM, Zhang B, Trout AT. Doesappendiceal diameter change withage? A sonographic study. AJR AmJ Roentgenol. 2014;203(5):1120-1126. doi:10.2214/AJR.13.12205
Dietrich CF, Bolondi L, Duck F,et al. History of Ultrasound inMedicine from its birth to date(2022), on occasion of the 50Years Anniversary of EFSUMB.A publication of the EuropeanFederation of Societies forUltrasound In Medicine andBiology (EFSUMB), designed torecord the historical developmentof medical ultrasound. MedUltrason. 2022;24(4):434-450.doi:10.11152/mu-3757
Guo X, Yang H, Zhao P, Li J, ZengL, Wang C, Yang Y, Yang R. Theapplication value of high-frequencyultrasound in the feasibilityassessment of endoscopicretrograde appendicitis therapyin children with appendicitis. SciRep. 2023 Nov 7;13(1):19291. doi:10.1038/s41598-023-46387-3.
Humes DJ, Simpson J.Acute appendicitis. BMJ.2006;333(7567):530-534.doi:10.1136/bmj.38940.664363.AE
Janszky I, Mukamal KJ, Dalman C,Hammar N, Ahnve S. Childhoodappendectomy, tonsillectomy,and risk for premature acutemyocardial infarction--a nationwidepopulation-based cohort study. EurHeart J. 2011;32(18):2290-2296.doi:10.1093/eurheartj/ehr137].
Jaya Kumar S, Shepherd G,Abubacker M, Rajimwale A, FisherR, et al. Trends in Incidence ofAcute Appendicitis in Children.002 Acad J Ped Neonatol. 2017;3(5): 555682. DOI: 10.19080/AJPN.2017.03.555682
Lambert SW. Description of theVermiform Appendix from the “deFabrica” of Vesalius. Ann Med Hist.1937;9(5):422-427
Levy S, Hiller N, Lev-Cohain N,Goldberg SN, Mizrahi I, SimanovskyN. Ultrasonographic features canpredict outcome of conservativemanagement of acute appendicitisin children. Emerg Radiol.2022;29(1):59-65. doi:10.1007/s10140-021-01984-5
Loveland JE. Reginald Heber Fitz,The Exponent of Appendicitis. YaleJ Biol Med. 1937;9(6):509.b1-509.b520.
Matthew Fields J, Davis J, AlsupC, Bates A, Au A, Adhikari S,Farrell I. Accuracy of point-of-careultrasonography for diagnosingacute appendicitis: a systematicreview and meta-analysis. AcadEmerg Med. 2017; 24:1124–36
Mostbeck G, Adam EJ, NielsenMB, et al. How to diagnose acuteappendicitis: ultrasound first.Insights Imaging. 2016;7(2):255-263. doi:10.1007/s13244-016-0469-6
Puylaert JB. Acute appendicitis:US evaluation using gradedcompression. Radiology.1986;158:355–60;
Rybkin AV, Thoeni RF. Currentconcepts in imaging ofappendicitis. Radiol Clin North Am.2007;45(3):411-vii. doi:10.1016/j.rcl.2007.04.003
Salahuddin SM, Ayaz O, Jaffer M,Naeem R, Tikmani SS, Mian AI.Pediatric Appendicitis Score forIdentifying Acute Appendicitis inChildren Presenting With AcuteAbdominal Pain to the EmergencyDepartment. Indian Pediatr. 2022Oct 15;59(10):774-777
Di Saverio S, Podda M, De SimoneB, et al. Diagnosis and treatmentof acute appendicitis: 2020update of the WSES Jerusalemguidelines. World J Emerg Surg.2020;15(1):27. Published 2020Apr 15. doi:10.1186/s13017-020-00306-3
Selvaggi L, Pata F, Pellino G, etal. Acute appendicitis and itstreatment: a historical overview.Int J Colorectal Dis. 2025;40(1):28.Published 2025 Jan 30.doi:10.1007/s00384-024-04793-7
Shepherd JA. Acute appendicitis:a historical survey. Lancet.1954;267(6833):299-302.doi:10.1016/s0140-6736(54)90236-6
Shogilev DJ, Duus N, OdomSR, Shapiro NI. Diagnosingappendicitis: evidence-basedreview of the diagnostic approachin 2014. West J Emerg Med.2014;15(7):859-871. doi:10.5811/westjem.2014.9.21568
Trout AT, Sanchez R, Ladino-TorresMF, Pai DR, Strouse PJ. A criticalevaluation of US for the diagnosisof pediatric acute appendicitisin a real-life setting: how can weimprove the diagnostic valueof sonography?. Pediatr Radiol.2012;42(7):813-823. doi:10.1007/s00247-012-2358-6
Trout AT, Towbin AJ, Fierke SR,Zhang B, Larson DB. Appendicealdiameter as a predictor ofappendicitis in children: improveddiagnosis with three diagnosticcategories derived from alogistic predictive model. EurRadiol. 2015;25(8):2231-2238.doi:10.1007/s00330-015-3639-x
K.Tzortzopoulou A. Diagnosingacute appendicitis in children:the role of diagnostic scores.Appendicitis - Current Insights,IntechOpen, 4 Jan. 2025. Crossref,doi:10.5772/intechopen.1008455
