ArticleAnnals of medicine and surgery (2012)2019
To determine validity of ultrasound in predicting acute appendicitis among children keeping histopathology as gold standard.
Article in Annals of medicine and surgery (2012), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Abdominal Ultrasound and Its Diagnostic Accuracy in Diagnosing Acute Appendicitis: A Meta-Analysis.Frontiers in surgery · 2021Pooled it
- Ultrasound Diagnosis of Acute Appendicitis in Pediatrics: A Community Hospital Network Experience.Cureus · 2025Article
- Review
- Ultrasonographic findings of child acute appendicitis incorporated into a scoring system.Singapore medical journal · 2022Article
- Commentary: Abdominal Ultrasound and Its Diagnostic Accuracy in Diagnosing Acute Appendicitis: A Meta-Analysis.Frontiers in surgery · 2021Article
- The Modified Heidelberg and the AI Appendicitis Score Are Superior to Current Scores in Predicting Appendicitis in Children: A Two-Center Cohort Study.Frontiers in pediatrics · 2020Article
- Reply to: Validity of ultrasound in predicting acute appendicitis among children, keeping histopathology as gold standard: Methodological issues.Annals of medicine and surgery (2012) · 2019Article
- Validity of ultrasound in predicting acute appendicitis among children, keeping histopathology as gold standard: Methodological issues.Annals of medicine and surgery (2012) · 2019Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo determined the accuracy of ultrasound in diagnosis of acute appendicitis in children keeping histopathology as gold standard.
methodsA prospective evaluations of all ultrasound for appendicitis from January 1, 2014, to June 15, 2017, was conducted at our hospital. A diagnostic protocol was implemented to reduce radiation exposure employing US as the initial imaging modality followed by CT for non-diagnostic US studies in patients with an equivocal clinical presentation. The imaging, operative findings, and pathology of 223 patients (females 80, males 143, age less than 14years) with diagnosed appendicitis were collected. The sensitivity, specificity, predictive value, and negative appendectomy rate were also analyzed. All those patients which had subjected to surgery were included to evaluate the true result of ultrasound in diagnosis of appendicitis.
resultsOf the 223 pediatric appendectomies performed in this time period, a total of 192 (86%) were diagnosed by ultrasound. The histopathology of 8 was normal (3.6%), CT done in 11 and three was normal. The negative appendectomy rate was 3.6%. US were the sole imaging modality in all patients.
conclusionsIn the diagnosis of acute appendicitis in children, ultrasound is useful and accurate mode, which results in a significant decrease in negative appendectomies with no increase in the number of CT scans. This has important implications in the reduction of childhood radiation exposure. STUDY
designcross sectional validation.
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