Usefulness of Ultrasonography in the Evaluation of Pediatric Patients with Suspected Appendicitis
-
- Saito Takeshi
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Hishiki Tomoro
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Terui Keita
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Sato Yoshiharu
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Nakata Mitsuyuki
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Komatsu Shugo
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Yahata Eriko
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Ohno Sachie
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Matsunaga Tadashi
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Kuroda Hiroaki
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
-
- Yoshida Hideo
- Department of Pediatric Surgery, Graduate School of Medicine Chiba University
Bibliographic Information
- Other Title
-
- 小児虫垂炎における超音波検査の有用性
Description
Abdominal ultrasonography (US) was performed in 559 pediatric patients (age : range 1-16 years, median 9 years old) suspected to have appendicitis. Of these, 340 cases were finally diagnosed to have appendicitis, and appendectomy was undertaken in 293 cases. The sensitivity and specificity of abdominal US for the diagnosis of appendicitis at our center were 94% and 98%, respectively. Twenty cases diagnosed as having severe enterocolitis at the first US exploration were finally diagnosed to have appendicitis by repeat US, which could reduce the number of false-negative cases. Unnecessary appendectomy was undertaken in 4 patients with false-positive results (1.3%). Moreover, the severity of inflammation in the appendix, as judged based on the US findings, was confirmed by histological examination of the excised specimens in more than 80% of patients with phlegmonous and gangrenous appendicitis. US helps not only in the correct diagnosis of appendicitis, but also in understanding the severity of the inflammation, thereby helping in the selection of the appropriate management policy.
Journal
-
- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
-
Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 29 (1), 39-45, 2009
Japanese Society for Abdominal Emergency Medicine
- Tweet
Details 詳細情報について
-
- CRID
- 1390282679712795264
-
- NII Article ID
- 130004508717
-
- ISSN
- 18824781
- 13402242
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- CiNii Articles
-
- Abstract License Flag
- Disallowed