Diseases that simulate acute appendicitis on ultrasound.

Ripollés, Tomás; Martínez-Pérez, María Jesús; Morote, V.; Solaz, J. Solaz

doi:10.1259/bjr.71.841.9534708

Cited by 25 publications

(16 citation statements)

References 9 publications

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“…Right abdominal pain remains a challenge for the surgeon, whose main weapons are his diagnostic and clinical skills, especially when the means of advanced imaging is lacking [3][4][5][6]. The Hartmann procedure is an effective technique for emergency surgery in cases of colonic septic complications [7,8].…”

Section: Discussionmentioning

confidence: 99%

Coexistence of acute appendicitis and sigmoid abscess in a patient with right abdominal pain

Tsaousis¹,

Agrafiotis²,

Nikolaidis³

et al. 2010

Hellenic J Surg

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A 60-year old man with no past medical history presented to the Emergency Department complaining of having abdominal pain and diarrhea for the last ten days. Physical examination and laboratory studies were suggestive of acute appendicitis. The patient was admitted urgently and taken to the operating room. The appendix had signs of acute inflammation and was removed while the small and large intestines were examined thoroughly. Intraoperatively, a necrotic tumor was found on the wall of the sigmoid colon. We removed a part of the sigmoid colon (about 15 cm), and performed Hartmann procedure. During the following days, all the blood markers of inflammatory response returned to normal.The pathology report showed signs of acute appendicitis and acute diverticulitis of the resected part of the sigmoid, without signs of malignancy.The surgeon should not forget that the sigmoid colon often has the tendency to move towards the right side of the abdomen and he should therefore consider the possibility of a combination of appendiceal and colonic pathology.

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Section: Discussionmentioning

confidence: 99%

Coexistence of acute appendicitis and sigmoid abscess in a patient with right abdominal pain

Tsaousis¹,

Agrafiotis²,

Nikolaidis³

et al. 2010

Hellenic J Surg

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“…All patients with mass in right iliac fossa then underwent the relevant investigations [2] following the routine blood and urine investigations like CBP, Blood grouping and Rh typing ,ESR, HIV, HBsAg ,RBS ,CUE. Ultrasonography [10] was done in all patients. Subsequently chest x-ray, CTscan [15] , IVP ,Ca 125 levels, colonoscopy and barium follow through and enema were done as and when required.…”

Section: Methodsmentioning

confidence: 99%

Study of Mass in Right Iliac Fossa

Reddy¹,

Reddy²

2016

IOSR

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“…Transabdominal USG ruptured ectopic pregnancy, mesenteric adenitis, infectious ileocolitis, typhlitis, Crohn's disease, right sided diverticulitis, epiploic appendagitis, bowel ischaemia, mucocoele of appendix, ovarian vein thrombosis, endometriosis, intussusceptions, perforated peptic ulcer and cholecystitis. [2][3][4] Rarely, endometriosis involving the terminal ileum can mimic clinical features of appendicitis. The RIF and hypogastric pain which our patient had can be retrospectively explained by rupture of endometriotic cyst in the right adnexa and/or inflamed right fallopian tube.…”

Section: Case Reportmentioning

confidence: 99%

Endometriosis with salpingitis simulating acute appendicitis

Debnath

Kumar

Gupta

et al. 2011

Medical Journal Armed Forces India

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(5 MHz, 6 MHz convex and linear probes; Wipro GE LOGIQ P3) with a partially distended urinary bladder revealed bilateral complex adnexal masses with internal echoes ( Figure 1A, B) abutting the uterus. The uterus, however, was found to be normal. The ovaries could not be demonstrated separately. Free fluid was present in RIF as well as pouch of Douglas. Using graded compression, a blind ending, tubular, non-compressible and non-peristaltic structure (diameter: 7 mm) was found extending from the RIF towards the midline (Figure 2). There was probe tenderness over this tubular structure. Although, the images of the tubular structure as mentioned above were not typical for classical appendicitis, based on the clinical profile and ultrasonographic findings, possibility of atypical appendicitis in association with pelvic endometriosis was raised. The attending surgical specialist was informed about pros and cons of the ultrasonographic findings who decided in favour of surgery. At surgery, the appendix was found to be normal. Appendectomy was carried out. The incision line was extended to look for pelvic pathologies. There were bilateral endometriotic ovarian cysts (chocolate cysts) with the right ovarian cyst having been ruptured with spillage of chocolate coloured fluid contents in the pelvis and RIF. Both ovarian cysts were plastered with the uterus with extensive adhesions in the pelvis and nearby areas (grade IV endometriosis). What was thought to be an atypical appendicitis on USG was actually an inflamed and kinked right fallopian tube extending from the right iliac fossa reaching almost up to the midline with the ampullary end directed medially. There were multiple areas of endometrial implants on the fallopian tube. Opinion of gynaecologist was sought during the surgery who advised medical treatment for endometriosis. The patient has been put on tab danazol 100 mg BD and has shown good response on follow up after two months. DISCUSSIONAcute appendicitis remains the most common surgical emergency with a life-time occurrence of 7%. Despite being a common problem and technological advancement in the recent past, acute appendicitis may still pose a diagnostic dilemma even to the best of clinicians. Laboratory investigations, though useful, are often non-specific. There are a sizeable number of conditions which can mimic appendicitis, some of them are urolithiasis, pelvic inflammatory disease, pyelonephritis, haemorrhagic ovarian cyst, ovarian torsion,

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Diseases that simulate acute appendicitis on ultrasound.

Cited by 25 publications

References 9 publications

Coexistence of acute appendicitis and sigmoid abscess in a patient with right abdominal pain

Coexistence of acute appendicitis and sigmoid abscess in a patient with right abdominal pain

Study of Mass in Right Iliac Fossa

Endometriosis with salpingitis simulating acute appendicitis

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