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Diagnostics
Volume 12
Issue 10
10.3390/diagnostics12102315
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Article

The Prognostic Value of Ultrasound Findings in Preoperatively Distinguishing between Uncomplicated and Complicated Types of Pediatric Acute Appendicitis Based on Correlation with Intraoperative and Histopathological Findings

by
Konstantina Bekiaridou
1,
Katerina Kambouri
1,*,
Alexandra Giatromanolaki
2,
Soultana Foutzitzi
3,
Maria Kouroupi
2,
Ioannis Chrysafis
3 and
Savas Deftereos
3
1
Department of Pediatric Surgery, Democritus University of Thrace, 68100 Alexandroupolis, Greece
2
Department of Pathology, Democritus University of Thrace, 68100 Alexandroupolis, Greece
3
Department of Radiology, Democritus University of Thrace, 68100 Alexandroupolis, Greece
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(10), 2315; https://doi.org/10.3390/diagnostics12102315
Submission received: 1 August 2022 / Revised: 11 September 2022 / Accepted: 23 September 2022 / Published: 26 September 2022
(This article belongs to the Section Medical Imaging and Theranostics)
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Abstract

Objective: This study compares the preoperative ultrasound findings of all children with a clinical picture of acute appendicitis on the basis of intraoperative and histopathological findings to assess the feasibility of this approach in preoperatively distinguishing between uncomplicated and complicated cases. Methods: This retrospective study includes 224 pediatric patients who underwent ultrasound prior to appendectomy at our institution between January 2016 and February 2022. Logistic regression analysis was used to investigate the association between sonographic and intraoperative histopathological findings. Results: Of the 224 participants, 61.1% were intraoperatively diagnosed with uncomplicated appendicitis (59.8% male). Multivariate logistic regression analysis revealed that patients with a higher appendiceal diameter, presence of appendicolith, and peritonitis were more likely to suffer from complicated appendicitis. Finally, the common anatomical position of the appendix and an appendiceal diameter greater than 6 mm had the highest sensitivity (94.6% and 94.5%, respectively) for predicting complicated appendicitis, with the most specific (99.3%) sonographic finding being the existence of an abscess. Conclusions: Preoperative abdominal ultrasound in children with a clinical diagnosis of acute appendicitis can distinguish between uncomplicated and complicated appendicitis in most cases of pediatric appendicitis. A higher appendiceal diameter, the presence of appendicolith, and peritonitis are parameters noted by ultrasound that strongly predict complicated appendicitis.
Keywords: ultrasound; complicated appendicitis; uncomplicated appendicitis ultrasound; complicated appendicitis; uncomplicated appendicitis

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MDPI and ACS Style

Bekiaridou, K.; Kambouri, K.; Giatromanolaki, A.; Foutzitzi, S.; Kouroupi, M.; Chrysafis, I.; Deftereos, S. The Prognostic Value of Ultrasound Findings in Preoperatively Distinguishing between Uncomplicated and Complicated Types of Pediatric Acute Appendicitis Based on Correlation with Intraoperative and Histopathological Findings. Diagnostics 2022, 12, 2315. https://doi.org/10.3390/diagnostics12102315

AMA Style

Bekiaridou K, Kambouri K, Giatromanolaki A, Foutzitzi S, Kouroupi M, Chrysafis I, Deftereos S. The Prognostic Value of Ultrasound Findings in Preoperatively Distinguishing between Uncomplicated and Complicated Types of Pediatric Acute Appendicitis Based on Correlation with Intraoperative and Histopathological Findings. Diagnostics. 2022; 12(10):2315. https://doi.org/10.3390/diagnostics12102315

Chicago/Turabian Style

Bekiaridou, Konstantina, Katerina Kambouri, Alexandra Giatromanolaki, Soultana Foutzitzi, Maria Kouroupi, Ioannis Chrysafis, and Savas Deftereos. 2022. "The Prognostic Value of Ultrasound Findings in Preoperatively Distinguishing between Uncomplicated and Complicated Types of Pediatric Acute Appendicitis Based on Correlation with Intraoperative and Histopathological Findings" Diagnostics 12, no. 10: 2315. https://doi.org/10.3390/diagnostics12102315

APA Style

Bekiaridou, K., Kambouri, K., Giatromanolaki, A., Foutzitzi, S., Kouroupi, M., Chrysafis, I., & Deftereos, S. (2022). The Prognostic Value of Ultrasound Findings in Preoperatively Distinguishing between Uncomplicated and Complicated Types of Pediatric Acute Appendicitis Based on Correlation with Intraoperative and Histopathological Findings. Diagnostics, 12(10), 2315. https://doi.org/10.3390/diagnostics12102315

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