ReviewMedical journal, Armed Forces India2017
Imaging in acute appendicitis: What, when, and why?
Review in Medical journal, Armed Forces India, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 57 citations in OpenAlex.
- Role of magnetic resonance in bowel pathologies: Beyond inflammatory bowel disease.World journal of radiology · 2026Review
- Imaging of appendicitis: Computed tomography, magnetic resonance imaging, and ultrasound in diagnosis and management.World journal of gastrointestinal pathophysiology · 2025Review
- Complicated appendicitis presenting as anterior abdominal wall abscess in a diabetic patient: A case report.International journal of surgery case reports · 2025Article
- Review
- Use of the vertebrae and iliac bone as references for localizing the appendix vermiformis in computed tomography.World journal of radiology · 2024Article
- Article
- Ultrasound vs. clinical diagnosis-which is better in diagnosing acute appendicitis?: a cohort study.Annals of medicine and surgery (2012) · 2023Article
- Differentiating abdominal pain due to COVID-19 associated multisystem inflammatory syndrome from children with acute appendicitis: a score system.Pediatric surgery international · 2023Article
- Article
- A Case-Based Overview of the Role of Radiological Imaging in Emergency General Surgery.Cureus · 2022Review
- Review
- Acute appendicitis-advances and controversies.World journal of gastrointestinal surgery · 2021Review
- Article
- The use of ultrasound in primary care: longitudinal billing and cross-sectional survey study in Switzerland.BMC family practice · 2020Article
- Factors influencing surgical management of acute appendicitis in a large university hospital without a dedicated emergency theatre.Irish journal of medical science · 2020Article
- Parental preferences in treatment of acute uncomplicated appendicitis comparing surgery to conservative management with antibiotics and their views on research participation.European journal of pediatrics · 2020Article
- Retrospective Multivariate Analysis of Data from Children with Suspected Appendicitis: A New Tool for Diagnosis.Emergency medicine international · 2018Article
- Comparing Single Dose Versus Multiple Doses Antibiotic Prophylaxis in Preventing Surgical Site Infections Following Open Appendicectomy for Uncomplicated Appendicitis.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute appendicitis (AA) is the commonest cause of pain abdomen requiring surgical intervention. Diagnosis as well as management of acute appendicitis is mired in controversies and contradictions even today. Clinicians often face the dilemma of balancing negative appendectomy rate and perforation rate if the diagnosis is based on clinical scoring alone. Laboratory results are often non-specific. Imaging has an important role not only in diagnosing appendicitis and its complication but also suggesting alternate diagnosis in appropriate cases. However, there is no universally accepted diagnostic imaging algorithm for appendicitis. Imaging of acute appendicitis needs to be streamlined keeping pros and cons of the available investigative modalities. Radiography has practically no role today in the diagnosis and management of acute appendicitis. Ultrasonography (USG) should be the first line imaging modality for all ages, particularly for children and non-obese young adults including women of reproductive age group. If USG findings are unequivocal and correlate with clinical assessment, no further imaging is needed. In case of equivocal USG findings or clinico-radiological dissociation, follow-up/further imaging (computed tomography (CT) scan/magnetic resonance imaging (MRI)) is recommended. In pediatric and pregnant patients with inconclusive initial USG, MRI is the next option. Routine use of CT scan for diagnosis of AA needs to be discouraged. Our proposed version of a practical imaging algorithm, with USG first and always has been incorporated in the article.
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Registered trials
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