Prophylactic appendectomy: Unnecessary in children with incidental appendicoliths detected by computed tomographic scan

Journal of Pediatric Surgery

Volumn 45, Issue 12, 2010, Pages 2377-2380

  Rollins, Michael D ^a   Andolsek, William ^a   Scaife, Eric R ^a   Meyers, Rebecka L ^a   Duke, Tonya H ^a   Lilyquist, Michael ^b   Barnhart, Douglas C ^a  

^a PRIMARY CHILDREN'S MEDICAL CENTER   (United States)

^b UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

Author keywords

Appendicitis; Appendicolith; Computed tomography; Fecalith

Indexed keywords

ABDOMINAL PAIN; ACUTE APPENDICITIS; ADOLESCENT; ADULT; APPENDECTOMY; APPENDIX DISEASE; ARTICLE; CHILD; COMPUTER ASSISTED TOMOGRAPHY; FOLLOW UP; HUMAN; INCIDENTAL APPENDICOLITHS; MAJOR CLINICAL STUDY; PRESCHOOL CHILD; PRIORITY JOURNAL; PROPHYLAXIS; QUESTIONNAIRE; RETROSPECTIVE STUDY; SCHOOL CHILD; TELEPHONE; TERTIARY HEALTH CARE;

ABDOMINAL PAIN; ADOLESCENT; APPENDECTOMY; APPENDICITIS; APPENDIX; CECAL DISEASES; CHILD; CHILD, PRESCHOOL; DIAGNOSIS, DIFFERENTIAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; INCIDENTAL FINDINGS; LITHIASIS; MALE; RETROSPECTIVE STUDIES; RISK; SURGICAL PROCEDURES, ELECTIVE; TOMOGRAPHY, X-RAY COMPUTED; UNNECESSARY PROCEDURES;

EID: 78649722227     PISSN: 00223468     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpedsurg.2010.08.038     Document Type: Article

References (12)

1. Lowe L.H., Penney M.W., and Scheker L.E. Appendicolith revealed on CT in children with suspected appendicitis: how specific is it in the diagnosis of appendicitis? AJR Am J Roentgenol 175 4 2000 981 984
2. Siegel M.J. Acute appendicitis in childhood: the role of US Radiology 185 2 1992 341 342
3. Balthazar E.J., Birnbaum B.A., and Yee J. Acute appendicitis: CT and US correlation in 100 patients Radiology 190 1 1994 31 35
4. Birnbaum B.A., and Jeffrey R.B. Jr CT and sonographic evaluation of acute right lower quadrant abdominal pain AJR Am J Roentgenol 170 2 1998 361 371
5. Friedland J.A., and Siegel M.J. CT appearance of acute appendicitis in childhood AJR Am J Roentgenol 168 2 1997 439 442
6. Lane M.J., Katz D.S., and Ross B.A. Unenhanced helical CT for suspected acute appendicitis AJR Am J Roentgenol 168 2 1997 405 409
7. Malone A.J. Unenhanced CT in the evaluation of the acute abdomen: the community hospital experience Semin Ultrasound CT MR 20 2 1999 68 76
8. Rao P.M., Rhea J.T., and Novelline R.A. Sensitivity and specificity of the individual CT signs of appendicitis: experience with 200 helical appendiceal CT examinations J Comput Assist Tomogr 21 5 1997 686 692
9. Fraser N., Gannon C., and Stringer M.D. Appendicular colic and the non-inflamed appendix: fact or fiction? Eur J Pediatr Surg 14 1 2004 21 24
10. Huwart L., El Khoury M., and Lesavre A. [Is appendicolith a reliable sign for acute appendicitis at MDCT?] J Radiol 87 4 Pt 1 2006 383 387
11. Rabinowitz C.B., Egglin T.K., and Beland M.D. Outcomes in 74 patients with an appendicolith who did not undergo surgery: is follow-up imaging necessary? Emerg Radiol 14 3 2007 161 165
12. Benjaminov O., Atri M., and Hamilton P. Frequency of visualization and thickness of normal appendix at nonenhanced helical CT Radiology 225 2 2002 400 406