Scan role in diagnosing acute appendicitis

Acute appendicitis is one of the commonest surgical diseases. It can rapidly progress to severe complications, like perforation and peritonitis. Consequently, surgeons often prefer to operate as soon as there is, clinically, a probable diagnosis, even if such a decision results in the ablation of up...

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Main Authors: Massimo Summa, Fabrizio Perrone, Fabio Priora, Eliana Giaminardi, Roberta Longhin, Giuseppe Spinoglio
Format: Article
Language:English
Published: PAGEPress Publications 2006-12-01
Series:Emergency Care Journal
Online Access:http://www.pagepressjournals.org/index.php/ecj/article/view/1257
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author Massimo Summa
Fabrizio Perrone
Fabio Priora
Eliana Giaminardi
Roberta Longhin
Giuseppe Spinoglio
author_facet Massimo Summa
Fabrizio Perrone
Fabio Priora
Eliana Giaminardi
Roberta Longhin
Giuseppe Spinoglio
author_sort Massimo Summa
collection DOAJ
description Acute appendicitis is one of the commonest surgical diseases. It can rapidly progress to severe complications, like perforation and peritonitis. Consequently, surgeons often prefer to operate as soon as there is, clinically, a probable diagnosis, even if such a decision results in the ablation of up to 30% of normal appendixes. Many diagnostic methods have been proposed with the aim of decreasing the number of appendectomies in patients without appendicitis: ultrasonography, computed tomography, magnetic resonance imaging, laparoscopy. In particular, ultrasonography has the advantage of being less expensive, widely available, and non-invasive; furthermore, it has demonstrated a diagnostic accuracy of 70-95%. However, its use needs further evaluation with respect to the best way to integrate it with clinical and laboratory data, in order to correctly identify a patient with suspected acute appendicitis. The aim of our study is to show our experience with ultrasonographic diagnosis of acute appendicitis, acquired by surgeons with specific sonographic expertise.
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spelling doaj.art-7381e5ff008e48b2841cc1d28d2c3f332022-12-22T02:07:34ZengPAGEPress PublicationsEmergency Care Journal1826-98262006-12-0126374010.4081/ecj.2006.6.37784Scan role in diagnosing acute appendicitisMassimo Summa0Fabrizio Perrone1Fabio Priora2Eliana Giaminardi3Roberta Longhin4Giuseppe Spinoglio5SOC di Chirurgia Generale a Indirizzo Oncologico, Dipartimento Chirurgico Azienda Ospedaliera “Santi Antonio e Biagio e C. Arrigo”, AlessandriaSOC di Chirurgia Generale a Indirizzo Oncologico, Dipartimento Chirurgico Azienda Ospedaliera “Santi Antonio e Biagio e C. Arrigo”, AlessandriaSOC di Chirurgia Generale a Indirizzo Oncologico, Dipartimento Chirurgico Azienda Ospedaliera “Santi Antonio e Biagio e C. Arrigo”, AlessandriaSOC di Chirurgia Generale a Indirizzo Oncologico, Dipartimento Chirurgico Azienda Ospedaliera “Santi Antonio e Biagio e C. Arrigo”, AlessandriaSOC di Chirurgia Generale a Indirizzo Oncologico, Dipartimento Chirurgico Azienda Ospedaliera “Santi Antonio e Biagio e C. Arrigo”, AlessandriaSOC di Chirurgia Generale a Indirizzo Oncologico, Dipartimento Chirurgico Azienda Ospedaliera “Santi Antonio e Biagio e C. Arrigo”, AlessandriaAcute appendicitis is one of the commonest surgical diseases. It can rapidly progress to severe complications, like perforation and peritonitis. Consequently, surgeons often prefer to operate as soon as there is, clinically, a probable diagnosis, even if such a decision results in the ablation of up to 30% of normal appendixes. Many diagnostic methods have been proposed with the aim of decreasing the number of appendectomies in patients without appendicitis: ultrasonography, computed tomography, magnetic resonance imaging, laparoscopy. In particular, ultrasonography has the advantage of being less expensive, widely available, and non-invasive; furthermore, it has demonstrated a diagnostic accuracy of 70-95%. However, its use needs further evaluation with respect to the best way to integrate it with clinical and laboratory data, in order to correctly identify a patient with suspected acute appendicitis. The aim of our study is to show our experience with ultrasonographic diagnosis of acute appendicitis, acquired by surgeons with specific sonographic expertise.http://www.pagepressjournals.org/index.php/ecj/article/view/1257
spellingShingle Massimo Summa
Fabrizio Perrone
Fabio Priora
Eliana Giaminardi
Roberta Longhin
Giuseppe Spinoglio
Scan role in diagnosing acute appendicitis
Emergency Care Journal
title Scan role in diagnosing acute appendicitis
title_full Scan role in diagnosing acute appendicitis
title_fullStr Scan role in diagnosing acute appendicitis
title_full_unstemmed Scan role in diagnosing acute appendicitis
title_short Scan role in diagnosing acute appendicitis
title_sort scan role in diagnosing acute appendicitis
url http://www.pagepressjournals.org/index.php/ecj/article/view/1257
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AT fabiopriora scanroleindiagnosingacuteappendicitis
AT elianagiaminardi scanroleindiagnosingacuteappendicitis
AT robertalonghin scanroleindiagnosingacuteappendicitis
AT giuseppespinoglio scanroleindiagnosingacuteappendicitis