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Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The radiological findings in 93 children operated on for acute appendicitis were reviewed retrospectively; acute appendicitis was confirmed in 76 (81%). These children were compared with 40 children with abdominal pain, but without appendicitis. Pre-operative radiographs in the children with appendicitis showed a significantly higher incidence of scoliosis, properitoneal line displacement, caecal dilatation with air/fluid levels and terminal ileal dilatation with air/fluid levels. The incidence of radiologically demonstrable faecaliths was not statistically higher in the children suffering from acute appendicitis. In children under the age of 4 years, in whom the diagnosis of acute appendicitis is often difficult, the radiological signs are helpful.
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PMID:The radiological signs of acute appendicitis in infancy and childhood. 65 71

Straight X-rays of 92 control patients with acute appendicitis and 92 control subjects were studied for radiographic abnormalities. Disturbance in intestinal gas pattern was the most common abnormality. Presence of a faecolith, free peritoneal fluid, scoliosis and a soft tissue mass were useful supporting signs. Loss of the properitoneal fat line and the right psoas outline were not reliable signs as they occurred with equal frequency in both groups.
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PMID:Useful radiological signs in acute appendicitis in children. 85 18

The preoperative plain abdominal radiographs of 34 patients who had had appendectomies were evaluated to determine the frequency of well-known radiographic signs in acute appendicitis. Scoliosis occurred in 17 patients (50%), right lower quadrant (RLQ) fluid levels in 21 (62%), ileus in 24 (70%), and combined RLQ fluid levels and ileus in 27 (80%). Bowel wall edema was seen in eight patients (23%) and calcified coproliths in six (17%). The presence of RLQ fluid levels or localized ileus or both proved to be the most reliable of the signs.
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PMID:Plain film radiographic diagnosis of acute appendicitis: an evaluation of the signs. 320 17

Appendicitis is a common cause of pediatric abdominal pain, largely occurring in the second decade of life. We present the case of a 14-year-old girl who underwent an uncomplicated posterior spinal fusion with instrumentation for scoliosis, who later developed abdominal pain, nausea, and emesis secondary to acute appendicitis. Her hospital course was significant for prolonged intravenous use of narcotics for pain control and subsequent constipation but negative for abdominal pain or tenderness during her admission. While gastrointestinal complications are a common cause of unplanned 30-day readmissions in the pediatric population, appendicitis has yet to be reported. To our knowledge, this is the first case report of acute appendicitis after posterior spinal fusion, likely resulting from postoperative pain management.
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PMID:Acute Appendicitis After Spine Fusion for Adolescent Idiopathic Scoliosis: A Case Report. 3064 57