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Suspected in
Children
Oleh :
Dynna Akmal
Introduction
60,00080,000 cases annually in the
United States.
It is one of the major causes of
hospitalization in children.
It is rare under the age of 2 years.
Clinical Assessment
of Acute Appendicitis
Crampy
Periumbilical or right lower quadrant pain
Nausea
Vomiting
Leukocytosis with a left shift
Points
A norexia
R ebound pain
E levated temperature
L eukocytosis
Total
10
Complications of Appendicitis
Perforation
Abscess formation
Generalized peritonitis
Small bowel obstruction
Anatomy
Normal Appendix
Normal Appendix: MR
Appendicolith on US
Figure 3. Acute appendicitis with an appendicolith. Longitudinal (a) and transverse (b)
US scans through an inflamed
appendix show an echogenic appendicolith with acoustic shadowing.
Perforated Appendix on US
Figure 5. Acute appendicitis with loss of the echogenic submucosal layer. Longitudinal (a) and transverse (b) US
scans through an inflamed appendix show a diffuse hypoechoic and enlarged appendix (between electronic calipers),
with loss of the normally echogenic submucosal layer. At surgery, appendiceal perforation was noted.
Acute appendicitis CT
CT Appendicolith
Periappendiceal Abscess