African Journal of Paediatric Surgery

LETTER TO EDITOR
Year
: 2013  |  Volume : 10  |  Issue : 4  |  Page : 393-

Imaging to diagnose acute appendicitis


Viroj Wiwanitkit 
 Hainan Medical University, Hainan, China; Faculty of Medicine, University of Nis, Nis, Serbia; Joseph Ayobabalola University, Ikeji-Arakeji, Osun State, Nigeria

Correspondence Address:
Viroj Wiwanitkit
Hainan Medical University, Hainan, China; Faculty of Medicine, University of Nis, Nis, Serbia; Joseph Ayobabalola University, Ikeji-Arakeji, Osun State, Nigeria




How to cite this article:
Wiwanitkit V. Imaging to diagnose acute appendicitis.Afr J Paediatr Surg 2013;10:393-393


How to cite this URL:
Wiwanitkit V. Imaging to diagnose acute appendicitis. Afr J Paediatr Surg [serial online] 2013 [cited 2020 Sep 22 ];10:393-393
Available from: http://www.afrjpaedsurg.org/text.asp?2013/10/4/393/125459


Full Text

Sir,

The recent report on imaging to diagnose acute appendicitis is very interesting. [1] Cesare et al. concluded that "in girls older than 10 years, selected use of imaging should be implemented to avoid unnecessary appendectomies" and "imaging of choice in equivocal cases should be ultrasonography." [1] In fact, the clinical diagnosis of acute appendicitis in paediatric patients is usually a challenge. There are several attempts to develop the diagnostic tool to help accurate diagnosis. In the present report, it seems that the use of imaging technique can support the diagnosis. However, there are many concerns. First, the cost-effectiveness of using additional imaging investigation should be accessed. This might be a problem in the resource-limited setting. Schreiner et al. mentioned that using imaging investigation "causes more costs in the public health system." [2] Schreiner et al. noted that ultrasonography had poor diagnosis property and also concluded that computed tomography scans was good concerning its diagnostic property, but "are expensive and involve exposure to radiation for the patient." [2] Second, the reported usefulness of imaging is varied. This might be due to the setting, number of subjects in each study and experience of the imaging interpreter. Acheson and Banerjee pointed the imaging was still controversial for usefulness for management of suspected appendicitis in children [3].

References

1Cesare AD, 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.
2Schreiner M, Spazier M, Wayand W. Diagnosis of acute appendicitis over two decades-Effects of increasing number of imaging procedures on costs, preoperative reliability and patient outcome. Zentralbl Chir 2010;135:336-9.
3Acheson J, Banerjee J. Management of suspected appendicitis in children. Arch Dis Child Educ Pract Ed 2010;95:9-13.