Contrast enema demonstration of a colon cut-off sign in a baby with perforated appendicitis

Johnson, J. F.; Pickett, William; Enzenauer, Robert W.

doi:10.1007/bf00971805

Cited by 3 publications

(2 citation statements)

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“…With cross‐referencing, eight additional eligible articles were identified. In total, 131 articles were included in this systematic review 3,6,12–140 . Figure 1 provides the PRISMA flowchart.…”

Section: Resultsmentioning

confidence: 99%

Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review

The,

Derikx

et al. 2023

Health Science Reports

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Background and AimsAlthough appendicitis is rare in young infants, the reported mortality is high. Primary aim of this systematic review was to provide updated insights in the mortality and morbidity (postoperative complications, Clavien‐Dindo grades I–IV) of appendicitis in infants ≤3 months of age. Secondary aims comprised the evaluation of patient characteristics, diagnostic work‐up, treatment strategies, comorbidity, and factors associated with poor outcome.MethodsThis systematic review was reported according to the PRISMA statement with a search performed in Pubmed, Embase and Web of Science (up to September 5th 2022). Original articles (published in English ≥1980) reporting on infants ≤3 months of age with appendicitis were included. Both patients with abdominal appendicitis and herniated appendicitis (such as Amyand's hernia) were considered. Data were provided descriptively.ResultsIn total, 131 articles were included encompassing 242 cases after identification of 4294 records. Overall, 184 (76%) of the 242 patients had abdominal and 58 (24%) had herniated appendicitis. Two‐hundred (83%) of the patients were newborns (≤28 days) and 42 (17%) were infants between 29 days and ≤3 months of age. Either immediate, or after initial conservative treatment, 236 (98%) patients underwent surgical treatment. Some 168 (69%) patients had perforated appendicitis. Mortality was reported in 20 (8%) patients and morbidity in an additional 18 (8%). All fatal cases had abdominal appendicitis and fatal outcome was relatively more often reported in newborns, term patients, patients with relevant comorbidity, nonperforated appendicitis and those presented from home.ConclusionMortality was reported in 20 (8%) infants ≤3 months of age and additional morbidity in 18 (8%). All patients with fatal outcome had abdominal appendicitis. Several patient characteristics were relatively more often reported in infants with poor outcome and adequate monitoring, early recognition and prompt treatment may favour the outcome.

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Section: Resultsmentioning

confidence: 99%

Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review

The,

Derikx

et al. 2023

Health Science Reports

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“…The following findings detected in isolation or in combination with others were recorded as positive: appendiceal fecalith (Figure 4) [11][12][13]; the colon cut-off sign [14][15][16] (Figures 5 and 6) comprising the absence of gas and feces in the right lower quadrant, reflex dilatation of the transverse colon and indentation of the colonic gas at the hepatic flexure; obliteration of pelvic fat planes [14]; right lower quadrant mass; extraluminal gas; acute small bowel obstruction [17,18] (defined as distention of more than three loops of small bowel out of proportion to the caliber of the ascending colon). Plain x-rays were considered negative when none of the above was found or indeterminate if intestinal gas pattern did not fit into any of the above patterns.…”

Section: Plain Abdominal X-raymentioning

confidence: 99%

A Comparative Ultrasound and Plain Abdominal X-Ray: Evaluation of Non-Classical Clinical Cases of Appendicitis

Makanjuola

Al-Qasabi

1993

Ann Saudi Med

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A prospective study of 109 patients with non-classical symptoms of appendicitis using the standard ultrasound (US) machine and plain abdominal x-rays demonstrated that US was superior to plain x-ray with a sensitivitiy, specificity and overall accuracy of 89%, 96% and 91%, respectively as compared with plain x-ray with 48%, 93% and 67% respectively. The negative appendectomy rate was 7%. In the alternative diagnosis, plain x-ray was superior to US due to the prevalence of intestinal diseases, ureteric calculi and basal pneumonia which were best shown in plain x-rays. US was, however, most useful in detecting female pelvic pathology. It is hoped that with improved imaging expertise and the appication of high resolution US machine a higher sensitivity and accuracy can be achieved. US is therefore recommended as the first line in the imaging of non-classical cases of appendicitis. However, in areas where enteric diseases and urinary calculus are endemic, it is prudent to perform both ultrasound and plain abdominal x-rays while the patient is in the radiodiagnostic department.

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Neonatal acute appendicitis: a proposed algorithm for timely diagnosis

Schwartz

Gilad

Sigalet

et al. 2011

Journal of Pediatric Surgery

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Contrast enema demonstration of a colon cut-off sign in a baby with perforated appendicitis

Cited by 3 publications

References 2 publications

Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review

Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review

A Comparative Ultrasound and Plain Abdominal X-Ray: Evaluation of Non-Classical Clinical Cases of Appendicitis

Neonatal acute appendicitis: a proposed algorithm for timely diagnosis

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