Identifying Retrocecal Appendicitis on Point-of-Care Ultrasound (POCUS)

Scheier, Eric; Budde-Schwartzman, Britta; Kartun, Valery; Balla, Uri

doi:10.1016/j.jemermed.2020.05.002

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Among 100 AA patients, there were 31 cases of uncomplicated appendicitis, 40 cases of suppurative appendicitis, 21 cases of gangrenous appendicitis, and eight cases of an appendiceal abscess. These results are similar to those reported by Ravichandran et al 22 , indicating that ultrasound represents a particularly useful diagnostic tool for AA pathological types and has an excellent clinical application value 23,24 . In the present article, we also collected the peripheral venous blood of the patients for the detection of inflammatory factors and found that the levels of WBC, CRP, IL-6, and TNF-α in the observation group were higher than those of the control group (p <0.05).…”

Section: Discussionsupporting

confidence: 90%

Diagnostic value of abdominal ultrasound in patients with acute appendicitis and analysis of the expression of related inflammatory factors.

Yang,

Wang,

Yang

et al. 2024

Investigación Clínica

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Appendicitis is an inflammation of the appendix that, if left un-treated, can be life-threatening. Abdominal ultrasound helps diagnose it and differentiate it from other causes of abdominal pain. This study aimed to evalu-ate the diagnostic value of abdominal ultrasound in acute appendicitis (AA) and assess inflammatory factor levels in different types of appendicitis. One hundred patients with AA were selected as the observation group, and 30 pa-tients with simple abdominal pain as the control group. Among the 100 AA patients, 37 (37%) cases had blurred appendiceal boundaries, 24 (24%) cases had fecal calculus in the appendix cavity, 13 (13%) cases had enhanced echo intensity of surrounding fat, 15 (15%) cases presented enlarged outer diameter of the appendix (> 6mm), one (1%) case had peripheral lymphadenopathy, and one (1%) case had peripheral effusion. None of the cases (0%) presented a pe-ripheral mass. The levels of white blood cells (WBC) and inflammatory factors: C-reactive protein (CRP), interleukin-6 (IL -6), and tumor necrosis factor α(TNF-α)) patients with uncomplicated appendicitis were lower than those with suppurative appendicitis, gangrenous appendicitis, or peri-appendiceal abscess (p <0.05). The blurred boundary of the appendix, fecal stones in the appendix cavity, an enlarged outer diameter of the appendix (> 6mm), and an enhanced echogenicity of the surrounding fat are the most common ultrasonic signs of AA. Abdominal ultrasound has an excellent diagnostic value on pathological types of AA. The increase in the level of inflammatory factors can indicate the severity of the disease to a certain extent.

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Section: Discussionsupporting

confidence: 90%

Diagnostic value of abdominal ultrasound in patients with acute appendicitis and analysis of the expression of related inflammatory factors.

Yang,

Wang,

Yang

et al. 2024

Investigación Clínica

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“…A point-of-care ultrasound (POCUS) has been beneficial in cases of retrocecal appendicitis. If available, an experienced POCUS practitioner scans the right upper to lower quadrant of the abdomen and can expedite diagnosis in patients with late presentation or those with suspected perforation [ 10 ]. This can avoid the potential need for invasive modalities such as CT scans.…”

Section: Discussionmentioning

confidence: 99%

Retrocecal Ascending Appendix Attached to the Hepatic Flexure and Right Intra-abdominal Testis Identified During Open Appendicectomy: A Case Report

Khatoon,

Naeem,

Akmal

et al. 2024

Cureus

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Appendicectomy, or the removal of the appendix, is an emergency procedure following symptomatic acute appendicitis. Diagnosis is made on clinical examination but can be confirmed on imaging if other abnormalities are suspected. A few variants of appendix anatomical position exist that can be difficult to manage. In addition, secondary findings during surgery can come unexpectedly. We report a case of a 14-year-old male, who presented to the emergency department at our government institution with abdominal pain and vomiting. Examination revealed an empty right scrotum, which was unnoticed by the patient and never examined previously due to residence in an area of limited healthcare access. Ultrasound done elsewhere was inconclusive. The surgical intervention showed a retrocecal appendix attached to an ascending colon terminating at hepatic flexure. The procedure was further complicated by the presence of the right intra-abdominal testis located below the cecum. Excised samples were sent for histopathology, and the patient was followed with biopsy reports. This case highlights the challenges encountered during routine appendicectomy with unusual findings.

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Identifying Retrocecal Appendicitis on Point-of-Care Ultrasound (POCUS)

Cited by 2 publications

References 23 publications

Diagnostic value of abdominal ultrasound in patients with acute appendicitis and analysis of the expression of related inflammatory factors.

Diagnostic value of abdominal ultrasound in patients with acute appendicitis and analysis of the expression of related inflammatory factors.

Retrocecal Ascending Appendix Attached to the Hepatic Flexure and Right Intra-abdominal Testis Identified During Open Appendicectomy: A Case Report

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