MRI for First-Line Evaluation of Children Suspected of Having Acute Appendicitis

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Sonography as the first line of evaluation in children with suspected acute appendicitis.

cute appendicitis is the most common cause of abdominal pain requiring urgent surgery in children and is a true gastrointestinal emergency.1 The diagnosis is suspected and made primarily on the basis of clinical findings. Classically, these clinical findings consist of periumbilical pain migrating to the right lower quadrant, accompanied by fever and leukocytosis. However, the classic signs are...

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HOW TO APPROACH THE PATIENT SUSPECTED OF HAVING ACUTE APPENDICITIS, INTRODUCING NEW CRITERIA: (TWO OUT OF THREE)

 ABSTRACT Background: Acute appendicitis is the most common cause of acute surgical abdomen. Inspite of the introduction of ultrasonography, computed tomography scanning and laparoscopy in the years 1987-1997 the difficulty in accurate diagnosis of acute appendicitis has remained the same. Our way of reaching a decision for operating in a patient suspected of having acute appendicitis (which wi...

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Evaluation of the accuracy of physicians’ diagnostic performances in patients with suspected acute appendicitis

Introduction: With a prevalence rate of 7-8 percent, acute appendicitis is one of the most common public surgical emergencies worldwide. Given the complications of this disease because of lack of medical diagnosis and not on-time arrival of patients, this study evaluated the diagnostic performance of physicians (general or specialist) in patients with suspected appendicitis admitted in Imam Rez...

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MRI evaluation of acute appendicitis in pregnancy.

In recent years, magnetic resonance imaging (MRI) has become a valuable diagnostic tool for evaluation of acute abdominal pain in pregnancy. MRI offers an opportunity to identify the normal or inflamed appendix as well as a variety of other pathologic conditions that can masquerade clinically as acute appendicitis in pregnant women. Visualization of the normal appendix by MRI virtually excludes...

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CT scan for suspected acute appendicitis

A ppendicitis is common with a 7% lifetime risk for an individual in the United States. Mean age at diagnosis is 22 years old. While frequently clinically obvious, by 2006, more than 90% of patients diagnosed with appendicitis had a CT scan of the abdomen and pelvis performed. Use of CT scans has allowed a decrease in false-negative rate at appendectomy to under 10% from a rate of approximately...

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ژورنال

عنوان ژورنال: Radiology

سال: 2019

ISSN: 0033-8419,1527-1315

DOI: 10.1148/radiol.2019190056