Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Acute appendicitis: sonographic criteria based on 250 cases.

R B Jeffrey1, F C Laing, R R Townsend

  • 1Department of Radiology, San Francisco General Hospital, CA 94110.

Radiology
|May 1, 1988
PubMed
Summary

Sonography can diagnose appendicitis by visualizing the appendix. Adults with a visualized appendix less than 6mm may not need immediate surgery, unlike those with larger appendixes or appendicoliths.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Multidetector computed tomography of acute vascular injury in blunt abdominal/pelvic trauma: imaging predictors of treatment.

European journal of trauma and emergency surgery : official publication of the European Trauma Society·2016
Same author

Large calcifications in ovaries otherwise normal on ultrasound.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology·2007
Same author

Multidetector-row helical CT and advanced postprocessing techniques for the evaluation of pancreatic neoplasms.

Abdominal imaging·2003
Same author

A statistical 3-D pattern processing method for computer-aided detection of polyps in CT colonography.

IEEE transactions on medical imaging·2002
Same author

Impact of multidetector CT hepatic arteriography on the planning of chemoembolization treatment of hepatocellular carcinoma.

AJR. American journal of roentgenology·2001
Same author

Evaluation of the woman with postmenopausal bleeding: Society of Radiologists in Ultrasound-Sponsored Consensus Conference statement.

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine·2001

Area of Science:

  • Medical Imaging
  • Gastroenterology
  • Surgical Diagnostics

Background:

  • Appendicitis diagnosis often relies on clinical symptoms and imaging.
  • Graded compression sonography is a common tool for visualizing the appendix.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of sonography in suspected appendicitis.
  • To refine sonographic criteria for appendicitis, particularly concerning appendix diameter.

Main Methods:

  • Sonographic examination of 250 patients with suspected appendicitis.
  • Analysis of appendix visualization, diameter, compressibility, and presence of appendicoliths.
  • Correlation of sonographic findings with clinical follow-up and surgical pathology.

Main Results:

  • The appendix was visualized in 36% of patients.
  • Adults with visualized appendixes ≤6 mm and no appendicoliths had benign outcomes or normal appendices.
  • Patients with appendixes >6 mm or with appendicoliths had a high rate of confirmed appendicitis.

Conclusions:

  • Sonography is valuable for diagnosing appendicitis.
  • An appendix diameter ≤6 mm without compelling clinical findings or appendicoliths suggests observation over immediate surgery.
  • A visualized appendix >6 mm in diameter in adults with right lower quadrant pain indicates appendicitis.

Related Experiment Videos