Evidence map›Paper›PMID 31019588›Full record

ReviewPolish journal of radiology2019

A pictorial essay of the most atypical variants of the vermiform appendix position in computed tomography with their possible clinical implications.

Anna Zacharzewska-Gondek, Agata Szczurowska, Maciej Guziński, Marek Sąsiadek, Joanna Bladowska

Open access · diamondAbstract readReview
In one paragraph

Review in Polish journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Retro-psoas appendicitis.BMJ case reports · 2023
    Article
  10. Article
  11. A rare case of a herniated acute appendicitis.Journal of surgical case reports · 2022
    Article
  12. Article
  13. Retro-psoas muscle vermiform appendix: an unusual location.Surgical and radiologic anatomy : SRA · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Anna Zacharzewska-GondekDepartment of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland.
Agata SzczurowskaDepartment of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland.
Maciej GuzińskiDepartment of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland.
Marek SąsiadekDepartment of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland.
Joanna BladowskaDepartment of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland.
Wroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe tip of the appendix may be located in various areas of the abdominal cavity due to its variable length and/or the changeable position of the caecum. Although in the case of an atypical position the tip is usually located behind the caecum, there are possible locations that occur very rarely. Therefore, in the case of appendicitis the symptoms may lead to the wrong diagnosis. The aim of this study is to present the most atypical locations of the tip of the appendix found on CT (computed tomography) scans and thus help to avoid misdiagnoses. IMAGING

findingsThe most unusual locations of the tip of the appendix found in healthy subjects included: left inferior quadrant, along the lower edge of the liver near the gallbladder and the right kidney, the tip touching the duodenum, the rectum or appendages, and a long appendix located in the scrotum as the content of a hernia. In these positions, appendicitis may mimic acute diverticulitis, cholecystitis, duodenal ulcer, duodenitis, enteritis, or adnexal or testis pathologies.

conclusionsIt is important to be aware of atypical locations of the appendix because appendicitis in an unusual area may mimic other acute abdominal diseases and delay the proper treatment.

Indexed as

anatomical variantsatypical appendicitiscomputed tomographyvermiform appendix

Identifiers

PMID31019588
PMCPMC6479055
OpenAlexW2917374637

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.