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Alternative diagnoses at paediatric appendicitis MRI.

M M Moore1, A N Kulaylat2, J M Brian1

  • 1Division of Pediatric Radiology, Department of Radiology, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.

Clinical Radiology
|June 16, 2015
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Summary
This summary is machine-generated.

Magnetic resonance imaging (MRI) helps identify alternative diagnoses in children with suspected appendicitis. This review highlights common non-appendicitis causes of abdominal pain found via MRI in pediatric patients.

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Area of Science:

  • Pediatric radiology
  • Abdominal imaging

Background:

  • Utilization of MRI for pediatric appendicitis diagnosis is increasing.
  • Recognizing alternative diagnoses for abdominal pain is crucial in pediatric patients.

Purpose of the Study:

  • To share institutional experience using MRI for evaluating pediatric patients with suspected appendicitis.
  • To document alternative diagnoses identified during MRI examinations for suspected appendicitis.

Main Methods:

  • Retrospective review of 510 pediatric patients undergoing MRI for suspected appendicitis.
  • Data collected over a 30-month interval (July 2011 to December 2013).

Main Results:

  • An alternative diagnosis was identified in 19.2% (98/510) of patients.
  • Common alternative diagnoses included adnexal pathology (6.3%), enteritis-colitis (6.3%), and mesenteric adenitis (2.2%).

Conclusions:

  • MRI is valuable in diagnosing pediatric appendicitis and identifying alternative causes of abdominal pain.
  • Awareness of common alternative diagnoses like adnexal pathology, enteritis-colitis, and mesenteric adenitis is important in pediatric imaging.