African Journal of Paediatric Surgery

: 2014  |  Volume : 11  |  Issue : 1  |  Page : 93-

Response to "imaging to diagnose acute appendicitis"

Antonio Di Cesare, Filippo Parolini, Anna Morandi, Ernesto Leva 
 Department of Paediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy

Correspondence Address:
Antonio Di Cesare
Department of Paediatric Surgery, Fondazione IRCCS Ca«SQ» Granda, Ospedale Maggiore Policlinico, Padiglione Alfieri (Chirurgia Pediatrica), Via Commenda, 10 20122 Milano

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;11:93-93

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 2020 Jul 3 ];11:93-93
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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.


1Wiwanitkit V. Imaging to diagnose acute appendicitis. Afr J Paediatr Surg 2013;10:393.
2Di 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.