A Novel Nomogram for the Differential Diagnosis Between Advanced and Early Appendicitis in Pediatric Patients

Jiang, Jingying; Wu, Ying; Tang, Yue; Shen, Zhen; Chen, Gong; Huang, Yanlei; Zheng, Shan; Zheng, Yijie; Dong, Rui

doi:10.2217/bmm-2019-0036

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…A pivot consisting of pain, inflammatory changes, and anorexia might be found in other conditions mimicking AA, such as mesenteric adenitis, Crohn's ileitis, infections with Yersinia or Campylobacter, torsion of epiploic appendages, or tubo-ovarian abscesses [42]. Very few of these conditions require urgent intervention, with some even being exacerbated by surgery [43]. This underscores the value of radiological signs when establishing a definitive diagnosis.…”

Section: Acute Appendicitismentioning

confidence: 99%

When Not to Operate on Acute Cases—A Surgeon’s Perspective on Rapid Assessment of Emergency Abdominopelvic Computed Tomography

Alius,

Serban,

Tribus

et al. 2023

J. Imaging

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Clinical problem solving evolves in parallel with advances in technology and discoveries in the medical field. However, it always reverts to basic cognitive processes involved in critical thinking, such as hypothetical–deductive reasoning, pattern recognition, and compilation models. When dealing with cases of acute abdominal pain, clinicians should employ all available tools that allow them to rapidly refine their analysis for a definitive diagnosis. Therefore, we propose a standardized method for the quick assessment of abdominopelvic computed tomography as a supplement to the traditional clinical reasoning process. This narrative review explores the cognitive basis of errors in reading imaging. It explains the practical use of attenuation values, contrast phases, and windowing for non-radiologists and details a multistep protocol for finding radiological cues during CT reading and interpretation. This systematic approach describes the salient features and technical tools needed to ascertain the causality between clinical patterns and abdominopelvic changes visible on CT scans from a surgeon’s perspective. It comprises 16 sections that should be read successively and that cover the entire abdominopelvic region. Each section details specific radiological signs and provides clear explanations for targeted searches, as well as anatomical and technical hints. Reliance on imaging in clinical problem solving does not make a decision dichotomous nor does it guarantee success in diagnostic endeavors. However, it contributes exact information for supporting the clinical assessments even in the most subtle and intricate conditions.

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Section: Acute Appendicitismentioning

confidence: 99%

When Not to Operate on Acute Cases—A Surgeon’s Perspective on Rapid Assessment of Emergency Abdominopelvic Computed Tomography

Alius,

Serban,

Tribus

et al. 2023

J. Imaging

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“…The differential diagnosis includes Crohn disease, ruptured ovarian cyst, ovarian torsion, round ligament syndrome, salpingitis, mittelschmerz, ectopic pregnancy, tubo-ovarian abscess, endometriosis, pelvic inflammatory disease, gastroenteritis, right-sided colitis, renal colic, kidney stones, testicular torsion, and other nondescript gastroenterological issues [4].…”

Section: Introductionmentioning

confidence: 99%

Case Report On Rare Co-Occurrence of Complicated Acute Appendicitis and Ovarian Cyst Rupture

2024

JMCCR

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Acute appendicitis is the most common surgical emergency, and is also the most common cause of non-gynecological pelvic pain. Female patients presenting with abdominal pain in the presence of an underlying gynecological pathology such as ectopic pregnancy, threatened abortion, ovarian cyst, tubo-ovarian abscess or pelvic inflammatory disease can mimic acute appendicitis, potentially complicate the clinical picture and affect the diagnostic accuracy. Open or laparoscopic surgery is the mainstay of management for Complicated Appendicitis. Our patient was operated having signs and symptoms of pelvic peritonitis, with intraoperative finding of pelvic cavity blood with right ruptured ovarian simple cyst. She also had significant appendiceal abscess contained by omentum, terminal ilium, cecum and sigmoid colon with eaten up appendix in the abscess. This is a rare co-occurrence of appendiceal abscess with ruptured ovarian cyst, only one previous published case report of acute appendicitis with ruptured ovarian cyst.

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Current use of artificial intelligence in the diagnosis and management of acute appendicitis

CAPPUCCIO,

BIANCO,

ROTONDO

et al. 2024

Minerva Surg

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A Novel Nomogram for the Differential Diagnosis Between Advanced and Early Appendicitis in Pediatric Patients

Cited by 3 publications

References 30 publications

When Not to Operate on Acute Cases—A Surgeon’s Perspective on Rapid Assessment of Emergency Abdominopelvic Computed Tomography

When Not to Operate on Acute Cases—A Surgeon’s Perspective on Rapid Assessment of Emergency Abdominopelvic Computed Tomography

Case Report On Rare Co-Occurrence of Complicated Acute Appendicitis and Ovarian Cyst Rupture

Current use of artificial intelligence in the diagnosis and management of acute appendicitis

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