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Insights into Imaging
Published in: Insights into Imaging 6/2013

Open Access 01-12-2013 | Pictorial Review

Ultrasound assessment of acute appendicitis in paediatric patients: methodology and pictorial overview of findings seen

Authors: Alan J. Quigley, Samuel Stafrace

Published in: Insights into Imaging | Issue 6/2013

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Abstract

Acute appendicitis is a common surgical emergency in the paediatric population. Computed tomography (CT) has been shown to have high accuracy and low operator dependence in the diagnosis of appendicitis. However, with increased concerns regarding CT usage in children, ultrasound (US) is the imaging modality of choice in patients where appendicitis is suspected. This review describes and illustrates the step-wise graded-compression technique for the visualisation of the appendix, the normal and pathological appearances of the appendix, as well as the imaging characteristics of the common differentials.

Teaching points

• A step-wise technique improves the chances of visualisation of the appendix.
• There are often several causes for the non-visualisation of the appendix in children.
• A pathological appendix has characteristic US signs, with several secondary features also identified.
• There are multiple common differentials to consider in the paediatric patient.
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Metadata
Title
Ultrasound assessment of acute appendicitis in paediatric patients: methodology and pictorial overview of findings seen
Authors
Alan J. Quigley
Samuel Stafrace
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 6/2013
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-013-0275-3

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