Plain film evaluation of patients with abdominal pain: are three radiographs necessary?

Mirvis, SE; Young, JW; Keramati, B; McCrea, ES; Tarr, RJ

doi:10.2214/ajr.147.3.501

Cited by 46 publications

(18 citation statements)

References 11 publications

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“…The three-film abdominal series has been compared with standard views and found to be superfluous to requirements 36 37. Both studies concluded that the upright abdominal radiograph can be eliminated from the standard series without loss of diagnostic information.…”

Section: General Commentsmentioning

confidence: 99%

The use of plain abdominal x rays in the emergency department

Smith

Hall

2009

Emergency Medicine Journal

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Abdominal x rays expose patients to significant doses of radiation and have limited use in emergency medicine. This review explores the evidence supporting the use of abdominal x rays in the emergency department, with particular reference to recent guidelines published by the Royal College of Radiologists. The authors' recommendations for the use of abdominal x rays in the emergency department are given.

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Section: General Commentsmentioning

confidence: 99%

The use of plain abdominal x rays in the emergency department

Smith

Hall

2009

Emergency Medicine Journal

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“…Other studies have advocated reducing the number of views required for an abdominal series [7,8]. This …”

Section: Discussionmentioning

confidence: 99%

Colonic pseudo-obstruction: Value of prone lateral view of the rectum

Low

1995

Abdom Imaging

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“…The mean age of the patients was 9.6 years (13 months-15 years). PAX of each of the patients were evaluated by one radiologist blinded to the clinicopathological diagnoses with respect to 13 roentgenographic signs reported to be related to Aap (1,(4)(5)(6)(7)(8). The sought signs were as follows: (i).…”

Section: Methodsmentioning

confidence: 99%

Diagnostic value of plain abdominal radiographs in acute appendicitis in children

et al. 2004

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Objective: The plain film of the abdomen (PAX) is still utilised in the diagnosis of acute appendicitis (Aap). Aim of this study was to evaluate the value of PAX in the diagnosis of Aap in children, since it continues to be a controversial subject. Design: A retrospective study. Setting: Department of Paediatric Surgery, Gazi University Medical School. Patients The histopathological diagnoses and PAX of 213 children (mean age 9-6 years) operated for acute right-lower quadrant pain were evaluated retrospectively. There were 181 patients with Aap and 32 with normal appendix. Methods: The rate of detection of overall thirteen roentgenographic criteria defined in various reports in medical literature as indicating appendicitis were noted and compared with histopathological diagnoses. The PAX which revealed one or more of these signs in combination was considered to be positive for Aap. Data was analysed statistically and sensitivity, specificity and positive and negative predictive values of PAX in the diagnosis of Aap were determined. Results: Roentgenographic sign(s) were detected in 170 (79%) cases, 18 without Aap. The most frequent were lumbar scoliosis with left-sided convexity (50%) and small intestinal air-fluid levels (32%). In 39 cases, 25 with Aap, no sign(s) was detected. In all of the perforated cases, at least one of the determined criteria was seen. The percentage of roentgenographic signs found in cases with and without appendicitis was different significantly (p<0.01). The negative predictive value of PAX in the diagnosis of acute appendicitis was 32.5% and positive predictive value was 89%. Conclusion: PAX could he helpful in diagnosis in children with suspected acute appendicitis.

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Plain film evaluation of patients with abdominal pain: are three radiographs necessary?

Cited by 46 publications

References 11 publications

The use of plain abdominal x rays in the emergency department

The use of plain abdominal x rays in the emergency department

Colonic pseudo-obstruction: Value of prone lateral view of the rectum

Diagnostic value of plain abdominal radiographs in acute appendicitis in children

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