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Related Experiment Video

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Imaging right lower quadrant pain: Not always appendicitis.

Pranav Sharma1, Rahul Hegde1, Ashwini Kulkarni2

  • 1Department of Radiology, Yale New Haven Health - Bridgeport Hospital, Bridgeport, CT, United States of America.

Clinical Imaging
|March 13, 2020
PubMed
Summary
This summary is machine-generated.

Acute appendicitis (AA) mimics many conditions causing right lower quadrant pain (RLQP). Imaging is crucial for diagnosis, with CT as the primary tool, while ultrasound (US) and MRI offer radiation-free alternatives.

Keywords:
AppendicitisComputed tomographyMagnetic resonance imagingRight lower quadrant painUltrasound

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Area of Science:

  • Radiology
  • Gastroenterology
  • Emergency Medicine

Background:

  • Acute appendicitis (AA) is a frequent cause of right lower quadrant pain (RLQP).
  • Numerous intra-abdominal and pelvic pathologies can mimic AA's clinical presentation.
  • Accurate diagnosis of RLQP necessitates appropriate imaging modalities.

Purpose of the Study:

  • To outline an approach for evaluating patients with acute RLQP.
  • To discuss the selection of various imaging modalities for RLQP.
  • To present a systematic classification of conditions causing RLQP.

Main Methods:

  • Review of imaging modalities including CT, US, and MRI for RLQP evaluation.
  • Systematic classification of differential diagnoses for RLQP.
  • Discussion of imaging's role in pediatric and pregnant patients.

Main Results:

  • CT is the primary imaging modality for RLQP.
  • US and MRI are valuable ancillary tools, especially in pediatric and pregnant populations, due to lack of ionizing radiation.
  • A comprehensive checklist of conditions causing RLQP is presented, categorized by organ system.

Conclusions:

  • A structured approach to RLQP evaluation is essential.
  • Multimodality imaging plays a critical role in diagnosing the diverse causes of RLQP.
  • Understanding the differential diagnosis and appropriate imaging selection aids in timely and accurate patient management.