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LETTER TO THE EDITOR Table of Contents   
Year : 2014  |  Volume : 11  |  Issue : 1  |  Page : 93
Response to "imaging to diagnose acute appendicitis"


Department of Paediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy

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Date of Web Publication20-Mar-2014
 

How to cite this article:
Cesare AD, Parolini F, Morandi A, Leva E. Response to "imaging to diagnose acute appendicitis". Afr J Paediatr Surg 2014;11:93

How to cite this URL:
Cesare AD, Parolini F, Morandi A, Leva E. Response to "imaging to diagnose acute appendicitis". Afr J Paediatr Surg [serial online] 2014 [cited 2019 Aug 18];11:93. Available from: http://www.afrjpaedsurg.org/text.asp?2014/11/1/93/129255
Sir,

In response to comment of Wiwanitkit [1] on our study on efficacy of ultrasound scan to diagnose acute appendicitis in children, [2] we confirm that imaging is cost and time demanding and that most of the time it is not worth to be used to diagnose appendicitis. This is exactly what we remarked in our study. We are in fact absolutely in favour of the clinical assessment as the key mean of diagnosis and against the abuse of imaging: indeed, 82.4% of our patients underwent appendectomy without any further diagnostic assessment. Nevertheless, in selected cases, as the girls older than 10 years, if the story and clinical examination is doubtful, it would be advisable to use ultrasound to improve the accuracy of the diagnosis, being these selected subgroups of patients keen to be more difficult to diagnose due to gynaecological problems. This is to avoid the high number of negative surgical procedures we reported in our series.

 
   References Top

1.Wiwanitkit V. Imaging to diagnose acute appendicitis. Afr J Paediatr Surg 2013;10:393.  Back to cited text no. 1
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2.Di Cesare A, Parolini F, Morandi A, Leva E, Torricelli M. Do we need imaging to diagnose appendicitis in children? Afr J Paediatr Surg 2013;10:68-73.  Back to cited text no. 2
    

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Correspondence Address:
Antonio Di Cesare
Department of Paediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Padiglione Alfieri (Chirurgia Pediatrica), Via Commenda, 10 20122 Milano
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.129255

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