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Color Doppler ultrasound of appendix

Lyo Min Kwon, Kwanseop Lee, Soo Kee Min, Soo Min Ahn, Hong Il Ha, Min-Jeong Kim
Purpose: The purpose of this study was to evaluate the ultrasonographic findings of secondary appendicitis (SA) and to discuss the differential findings compared with primary appendicitis. Methods: In this study, we analyzed the ultrasonographic findings of 94 patients under 15 years old of age treated at our institution from May 2005 to May 2014 who had bowel inflammation and an inflamed appendix with a maximal outer diameter >6 mm that improved with nonsurgical treatment (the SA group)...
August 25, 2017: Ultrasonography
Naoyuki Fujita, Mitsuhiro Tambo, Takatsugu Okegawa, Eiji Higashihara, Kikuo Nutahara
PURPOSE: Many physicians encounter confusion and difficulty in distinguishing testicular torsion (TT) from torsion of the appendix testis (TAT) in patients with acute scrotum because of the overlapping signs and symptoms. The objective of our study was to evaluate the clinical features and signs that can help distinguish TT from TAT. PATIENTS AND METHODS: We performed a retrospective study of patients with surgically confirmed TT and TAT at our institute from January 1990 to December 2013...
2017: Research and Reports in Urology
Mikahl Lev, Jacob Ramon, Yoram Mor, Jeffrey M Jacobson, Michalle Soudack
PURPOSE: The most common cause of acute scrotum in prepubertal boys is torsion of the testicular or epididymal appendages. The purpose of this retrospective study was to characterize the features of these lesions as viewed on sonographic (US) and color Doppler US examination. METHODS: During a 220-week period, 527 male patients 0-17 years old had been referred from the pediatric emergency department for scrotal US evaluation. Torsion of the appendix testis or appendix epididymis had been diagnosed in 19 (3...
October 2015: Journal of Clinical Ultrasound: JCU
Mohsen Mohamed Karam, Mohaed Fahmy Abdalla, Said Bedair
INTRODUCTION: Isolated superior mesentericveinous thrmbophlebitis is a rarely recognised condition associated with a high morbidity. It usually develops secondary to infection in the drainage area of the portal venous system, like appendix. PRESENTATION OF CASE: We report a case of neglected perforated acute appendicitis complicated by superior mesenteric venous pyelephlebitis patiant represented with a vague pain to right of umlicus, which is atypical this why cat scan was done and showed obstructed superiormesentric vein, portal vein was free with acute appendicitis...
2013: International Journal of Surgery Case Reports
Lauren Chan, Lewis K Shin, Reetesh K Pai, R Brooke Jeffrey
Appendicitis is one of the most common causes of the acute abdomen often requiring emergent surgery. Delayed diagnosis leads to the progression of uncomplicated appendicitis to complicated (gangrenous, perforated) appendicitis, often changing clinical management. Computed tomography and ultrasound are imaging modalities of choice to preoperatively diagnose appendicitis. Recent concerns of radiation exposure and cost have renewed interest in using ultrasound as an initial, diagnostic study. A sonographic pictorial and histopathologic review of the continuum of appendicitis is presented...
June 2011: Ultrasound Quarterly
Chao Yang, Bin Song, Xing Liu, Guang-hui Wei, Tao Lin, Da-wei He
PURPOSE: This study aimed to compare clinical manifestations, physical examination findings, laboratory, and radiographic dates in pediatric patients with different pathological diagnoses of acute scrotum as well as to accurately establish the true incidence of various pathological diagnoses of acute scrotum. METHODS: The records of children hospitalized for acute scrotum from 1990 to 2008 were reviewed. RESULTS: A total of 1228 cases were included in the study (103 with testicular torsion, 918 with torsion of the testicular appendix, 72 with tunica vaginalis inflammation, 46 with epididymitis and 89 with other pathological diagnoses)...
April 2011: Pediatric Emergency Care
Vinod Attarde, Parag Patil, Abhang Apte, Kishor Barhate, Ashish Gandhe, Satish Sorte, Namit Hattangadi
Mucocele of the appendix is a rare but well-known entity. Accurate preoperative diagnosis of this surgically curable entity is very important to prevent intraoperative rupture. With multimodality approach using ultrasound and CT, it has been possible to preoperatively diagnose mucocele of the appendix. We describe the ultrasound and CT findings of a giant appendicular mucocele that led us to the correct preoperative diagnosis.
June 2011: Journal of Clinical Ultrasound: JCU
Alper Ozel, Umut Percem Orhan, Burhan Akdana, Cagatay Disli, Sukru Mehmet Erturk, Muzaffer Basak, Zeki Karpat
PURPOSE: To determine the visualization rate of the appendix in children without appendicitis and investigate factors affecting it. METHODS: Between January 2010 and April 2010, 205 consecutive children (103 boys and 102 girls; mean age: 9 years) without clinical signs of appendicitis were examined by ultrasound (US). The location of appendix was determined. The outer appendiceal diameter with and without compression was measured and the content of the lumen and mural vascularity on color Doppler was determined...
May 2011: Journal of Clinical Ultrasound: JCU
Zhuo-qiong Luo, Ping Zhou, Wei He, Feng Gao
OBJECTIVE: To explore the ultrasound characteristics of mucinous cystadenoma of the appendix and evaluate its diagnostic value. METHODS: Fourteen cases of mucinous cystadenoma of the appendix were diagnosed by ultrasonic examination and confirmed by surgery and pathology. The ultrasound findings and distribution of color Doppler flow signals were observed and analyzed in comparison with the surgical and pathological results. RESULTS: Ultrasound revealed a unilocular or multilocular cystic mass located in the right lower quadrant area with clear boarders, smooth and thick wall, and inconsistent internal echogenicity...
November 2010: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
George S Sakellaris, Giorgos C Charissis
The aim of the study was to compare historical features, physical examination findings, and testicular color Doppler ultrasound in pediatric patients with epididymitis compared to testicular torsion and torsion of the appendix testes. A retrospective review of the medical records of 66 boys presenting with clinical aspects of acute scrotum over a 3-year period was performed. Sixty-six patients were included in the study (29 with epididymitis, 8 with testicular torsion and 12 with torsion of the appendix testis, 4 with scrotal abscesses, 5 with scrotal swelling, and 1 with inflamed epididymal cyst)...
July 2008: European Journal of Pediatrics
Alexander V Rybkin, Ruedi F Thoeni
Appendicitis is the most common cause of acute abdominal pain requiring surgery. Early diagnosis is crucial to the success of therapy. CT and ultrasound are widely recognized as very useful in the timely diagnosis of appendicitis. MR imaging is emerging as an alternative to CT in pregnant patients and in patients who have an allergy to iodinated contrast material. This article reviews the current imaging methods and diagnostic features of appendicitis.
May 2007: Radiologic Clinics of North America
A C Testa, G Ferrandina, D Timmerman, L Savelli, M Ludovisi, C Van Holsbeke, M Malaggese, G Scambia, L Valentin
OBJECTIVE: To describe the gray-scale and color Doppler ultrasound findings of metastatic tumors in the ovary according to the origin of the primary tumor. METHODS: Information was retrieved retrospectively from 67 patients who had undergone preoperative transvaginal gray-scale and color Doppler ultrasound examination and who were found subsequently to have metastatic tumors in their ovaries. In all women the ultrasound information had been collected prospectively using a standardized examination technique and predefined definitions of ultrasound characteristics...
May 2007: Ultrasound in Obstetrics & Gynecology
Marie Gerhard-Herman, Julius M Gardin, Michael Jaff, Emile Mohler, Mary Roman, Tasneem Z Naqvi
Accompanying the rapid growth of interest in percutaneous vascular interventions, there has been increasing interest among cardiologists in performing noninvasive vascular testing using ultrasound. In an attempt to provide recommendations on the best practices in vascular laboratory testing, this report has been prepared by a writing group from the American Society of Echocardiography (ASE) and the Society for Vascular Medicine and Biology. The document summarizes principles integral to vascular duplex ultrasound--including color Doppler, spectral Doppler waveform analysis, power Doppler, and the use of contrast...
November 2006: Vascular Medicine
Pietro Pepe, Paolo Panella, Michele Pennisi, Francesco Aragona
INTRODUCTION AND OBJECTIVES: Our experience concerning the use of color Doppler sonography (CDS) in the differential diagnosis of acute scrotum is reported. MATERIAL AND METHODS: From July 2000 to July 2005, 155 patients (median 17.2 years) were admitted with a diagnosis of acute scrotum (unilateral in 150 cases, bilateral in 5). Along with a careful anamnesis and the physical exam, all patients underwent a CDS study of the scrotal content using a sonograph GE Logiq 500 with a multifrequency (7...
October 2006: European Journal of Radiology
Pinhas M Livne, Bezalel Sivan, Boaz Karmazyn, David Ben-Meir
PURPOSE: To review and update several aspects of testicular torsion. INCIDENCE: The relative incidence of testicular torsion, torsion of testicular appendix and epididymo-orchitis is variable and depends on mode of diagnosis and patients' age. AGE: Testicular torsion can occur at any age. The peak is in adolescents below the age of 18 years. SYMPTOMS: Classical symptoms are not always present. Range of duration is varied. Nausea and vomiting are positive predictive value for testicular torsion...
December 2003: Pediatric Endocrinology Reviews: PER
Fatih Kantarci, Harun Ozer, Ibrahim Adaletli, Ismail Mihmanli
We aimed to describe the morphologic characteristics of the appendix epididymis that appears cystic on ultrasound (US) examinations. Two hundred and seventy-two patients (544 testes) were examined by US for various scrotal complaints. The patients were prospectively evaluated for the presence of testicular appendages. Cystic appendix epididymis on US examinations was classified according to the presence of the stalk and size of the cyst. Testicular appendages have been identified in 337 out of 544 testes (61...
December 2005: Surgical and Radiologic Anatomy: SRA
Boaz Karmazyn, Ran Steinberg, Liora Kornreich, Enrique Freud, Sylvia Grozovski, Michael Schwarz, Nitza Ziv, Pinchas Livne
BACKGROUND: Diagnosis of testicular torsion in children is challenging, as clinical presentation and findings may overlap with other diagnoses. OBJECTIVE: To define the clinical and ultrasound criteria that best predict testicular torsion. MATERIALS AND METHODS: The records of children hospitalized for acute scrotum from 1997 to 2002 were reviewed. The clinical and ultrasound findings of children who had a final diagnosis of testicular torsion were compared with those of children who had other diagnoses (torsion of the testicular appendix, epididymitis, and epididymo-orchitis)...
March 2005: Pediatric Radiology
Agnieszka Brodzisz, Paweł Wieczorek, Ewa Dybiec, Magdalena Pietka, Jerzy Osemlak
In our study we tried to assess the usefulness of high frequency ultrasound examinations in the diagnostics of right lower quadrant abdominal pain, focusing on the differential diagnosis of appendicitis. Ultrasound examinations were performed on 152 patients aged 1 to 19 with abdominal pain. All the children underwent standard abdominal ultrasound examination with B mode of abdominal parenchymal organs as well as the evaluation of the intestines with the linear transducer of changeable frequency with the possibility of creating sector format...
2003: Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina
C Cazalets, B Cador, Y Rolland, O Decaux, P Guggenbulh, C Chaperon, P Jégo, B Grosbois
BACKGROUND: Raynaud's phenomenon (RP) is a frequent vascular paroxysmal syndrome of the extremities. Generally benign, the condition is called Raynaud's disease (RD), which may reveal a connective tIssue disease, particularly systemic sclerosis (SS). We evaluated digital blood flow in patients with RD and SS using color Doppler ultrasound. PATIENTS AND METHODS: Ultrasound examination was performed with a newly developed multi-D linear array transducer (VFX 13-5 Siemens), which allows better resolution...
February 2004: Journal des Maladies Vasculaires
M Stehr, R Boehm
Acute scrotum in children is generally a symptom. Several pathologies of the testis, scrotum or groin may cause it, including inflammatory as well as ischaemic processes. Testicular torsion with ischaemia of the testis is an emergency requiring prompt surgical intervention. Even experienced paediatric surgeons and urologists may have difficulties differentiating an ischaemic from an inflammatory aetiology solely on the basis of clinical signs and symptoms. In cases of aetiologic uncertainty, operative exploration has to be performed to rule out ischaemia, which led in the past to a high rate of surgery...
December 2003: European Journal of Pediatric Surgery
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