Gas-filled appendix with meniscus: Outline of the appendicolith

Lr, Bigongiari; Wicks, Jeffrey D.

doi:10.1007/bf01887070

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…Except for the presence of an appendicolith (fecalith) and possibly of a sentinel loop, the findings of acute appendicitis on plain radiographs (Table 2) are nonspecific and generally appear only in advanced disease (67)(68)(69)(70). Appendicolithiasis is said to be the most specific of the common findings of appendicitis but is identified in only 10% to 15% of all cases (71,72) -a considerably lower rate than those quoted in studies of ultrasonography and CT (vide infra).…”

Section: Plain Abdominal X-raysmentioning

confidence: 97%

The Role of Radiological Imaging in the Diagnosis of Acute Appendicitis

Albiston¹

2002

Canadian Journal of Gastroenterology

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Several strategies have been employed to improve the accuracy of the diagnosis of appendicitis and to reduce the associated perforation rate. Because clinical algorithms have been disappointing, many physicians resort to radiological modalities. Plain abdominal x-rays are nonspecific, barium enema examination has relatively low accuracy, scintigraphy scans require considerable time and are difficult to interpret, and magnetic resonance imaging is relatively unstudied. The most promising modalities are graded compression sonography and computed tomography. In expert hands, these techniques can achieve a high degree of accuracy. Nevertheless, most published studies have been marred by methodological difficulties. Moreover, ultrasound is more useful in detecting than in ruling out appendicitis. The radiological criteria for acute appendicitis, the accuracy of various imaging modalities and the limitations of the available research are described.

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Section: Plain Abdominal X-raysmentioning

confidence: 97%