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Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡

Year 2008, Volume: 25 Issue: 1, 1 - 4, 29.12.2009

Abstract

Evaluation of Normal Appendix Size in Children by Ultrasonography
The aim of this study was to determine detectability and size of appendix in different pediatric age groups by ultrasonography.
We included 100 children without abdominal pain between 1 and 14 years of age (51 male, 49 female, mean age: 8,36 year) to whom andominal ultrasonograpy was performed for routine controls, recurrent urinary tract infection, enuresis, anemia, Hepatitis B and ureterovesical junction obstruction. Children were divided into 3 groups according to their ages as 1-5, 6-10 and 11-14 years of age. In those children localization and the diameter of appendix was recorded.
Appendix was detected in 47% (29 male, 18 female) of children. Mean diameter of appendix was 3,46±0,77 (1,7-5,4 mm). No difference in detectability and in size of appendix among three age groups were seen. We concluded that in children normal appendix could be detected by ultrasonography and diameter of it does not show significant change with age. We tought that this knowledge is important in differential diagnosis of acute appendicitis by ultrasonography.


Pediyatrik yaş grubunda apendiksin sonografik olarak saptanabilme ve boyutlarının yaşa göre dağılımının belirlenmesi.
Nisan 2005-Haziran 2006 tarihleri arasında karın ağrısı olmayan, farklı nedenlerle (tekrarlayan idrar yolu enfeksiyonu, enürezis, anemi, hepatit B, opere UV darlık, rutin kontrol) batın ultrasonografisi yapılan 1-14 yaşları arasında toplam 100 çocuk (51 erkek, 49 kız, ortalama yaş 8,36 yıl) çalışmaya alındı. Yaşlarına göre olgular 1-5, 6-10, 11-14 yaş olmak üzere üç gruba ayrıldı. Bu olgularda apendiks çapı ve yerleşimi değerlendirildi. Olguların %47'sinde apendiks görüldü (29 erkek, 18 kız). Apendiks ortalama çapı 3,46±0,77 (1,7-5,4 mm) olarak bulundu. Yaş ile apendiks saptanabilirliği ya da apendiks çapı arasında ilişki saptanmadı.
Çalışmamızda pediyatrik yaş grubunda ultrasonografi ile normal apendiksin görüntülenebildiği ve yaşa göre çap farkı göstermediği tespit edilmiştir. Bu bilgilerle ultrasonogra-finin akut apandisit tanısında önemli bir görüntüleme yöntemi olduğu düşünüldü.

References

  • Rothrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med 2000; 36: 39–51.
  • Janik JS, Firor HV. Pediatric appendicitis: a twenty-year study of 1,640 children at Cook County Hospital. Arch Surg 1979; 114: 717–719.
  • Callahan MJ, Rodriguez DP, Taylor GA. CT of appendicitis in children. Radiology 2002; 224: 325–332.
  • Gritzman N, Hubner E. Sonography of acute appendicitis and the main differential diagnoses. Schweiz Rundsch Med Prax. 2006; 19; 95: 631–637.
  • Birnbaum BA, Wilson SR. Appendicitis at the millenium. Radiology 2000; 215: 337–348.
  • Cobben LP, de van Otterloo MA, Puylaert JB. Spontaneusly resoling appendicitis: Frequency and natural history in 60 patients. Radiology 2000; 215: 349–352.
  • Lane MJ. Unenhanced helical CT for suspected acute appendicitis. Am J Roentgenol 1997; 168: 405–409
  • Lane MJ, Liv DM, Huynh MD, et al. Suspected acute appendicitis: nonenhanced helical CT in 300 consecutive patients. Radiology 1999; 213: 341–346.
  • Ergün E, Bilaloğlu P, Koflar U, Ünlübay D. Akut apan- disit tanısında opaksız spiral BT incelemenin yeri, US ve cerrahi sonuçları ile korelasyonu. Tanısal ve Giriflimsel Rad. 2002; 8: 231–236.
  • Hernandez JA, Swischuk LE, Angel CA, et al. Imaging of acute appendicitis: US as the primary imaging modality. Pediatr Radiol 2005; 35: 392–395.
  • Jeffrey RB, Laing FC, Lewis FR. Acute appendicitis: High-resolution real-time US findings. Radiology 1987; 163: 11–14.
  • Jeffrey RB, Laing FC, Townsend RR. Acute appendicitis: Sonographic criteria based on 250 cases. Radiology 1988; 167: 327–329.
  • Puylaert JB, Vanderzant FM, Rijke AM. Sonography and the acute abdomen. AJR Am J Roentgenol 1997; 168:179–185.
  • Rioux M. Sonographic detection of the normal and abnormal appendix. AJR Am J Roentgenol 1992; 158: 773–778.
  • Wiersma F, Sramek A, Halscher HC. US features of the normal appendix and surrounding area in children. Radiology 2005; 235: 1018–1022.
  • Simonovsky V. Normal appendix: is there any significant difference in the maximal mural thickness at US between pediatric and adult populations? Radiology 2002; 224: 333–337.
  • Hahn HB, Hoepner FV, van Kale T, et al. Sonography of acute appendicitis in children: 7 years experience. Pediatr Radiol 1998; 28: 147–151.
  • Rettenbacher T, Hollerweger A, Macheiner P, et al. Outer diameter of the vermiform appendix as a sign of acute appendicitis: evaluation at US. Radiology 2001; 218: 757–762.
  • Sivit CJ, Dudgeen DL, Applegate KE, et al. Evaluation of suspected appendicitis in children and young adults; helical CT. Radiology 2000; 216: 430–433.
  • Vignault F, Filiatrault D, Brandt ML, et al. Acute appendicitis in children: evaluation with US. Radiology 1990; 176: 501–504.
  • Nghiem HV, Jeffrey RB Jr. Acute appendicitis confined to the appendiceal tip: evaluation with graded c o m p r e s s i o n sonography. J Ultrasound Med 1992; 11: 205–207.
  • Öztürkmen AH, Akpınar E, Özmen CA.Visualization of the Normal Appendix in Children by Non-Contrast MDCT. Acta Chir Belg, 2007, 107, 531.
Year 2008, Volume: 25 Issue: 1, 1 - 4, 29.12.2009

Abstract

References

  • Rothrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med 2000; 36: 39–51.
  • Janik JS, Firor HV. Pediatric appendicitis: a twenty-year study of 1,640 children at Cook County Hospital. Arch Surg 1979; 114: 717–719.
  • Callahan MJ, Rodriguez DP, Taylor GA. CT of appendicitis in children. Radiology 2002; 224: 325–332.
  • Gritzman N, Hubner E. Sonography of acute appendicitis and the main differential diagnoses. Schweiz Rundsch Med Prax. 2006; 19; 95: 631–637.
  • Birnbaum BA, Wilson SR. Appendicitis at the millenium. Radiology 2000; 215: 337–348.
  • Cobben LP, de van Otterloo MA, Puylaert JB. Spontaneusly resoling appendicitis: Frequency and natural history in 60 patients. Radiology 2000; 215: 349–352.
  • Lane MJ. Unenhanced helical CT for suspected acute appendicitis. Am J Roentgenol 1997; 168: 405–409
  • Lane MJ, Liv DM, Huynh MD, et al. Suspected acute appendicitis: nonenhanced helical CT in 300 consecutive patients. Radiology 1999; 213: 341–346.
  • Ergün E, Bilaloğlu P, Koflar U, Ünlübay D. Akut apan- disit tanısında opaksız spiral BT incelemenin yeri, US ve cerrahi sonuçları ile korelasyonu. Tanısal ve Giriflimsel Rad. 2002; 8: 231–236.
  • Hernandez JA, Swischuk LE, Angel CA, et al. Imaging of acute appendicitis: US as the primary imaging modality. Pediatr Radiol 2005; 35: 392–395.
  • Jeffrey RB, Laing FC, Lewis FR. Acute appendicitis: High-resolution real-time US findings. Radiology 1987; 163: 11–14.
  • Jeffrey RB, Laing FC, Townsend RR. Acute appendicitis: Sonographic criteria based on 250 cases. Radiology 1988; 167: 327–329.
  • Puylaert JB, Vanderzant FM, Rijke AM. Sonography and the acute abdomen. AJR Am J Roentgenol 1997; 168:179–185.
  • Rioux M. Sonographic detection of the normal and abnormal appendix. AJR Am J Roentgenol 1992; 158: 773–778.
  • Wiersma F, Sramek A, Halscher HC. US features of the normal appendix and surrounding area in children. Radiology 2005; 235: 1018–1022.
  • Simonovsky V. Normal appendix: is there any significant difference in the maximal mural thickness at US between pediatric and adult populations? Radiology 2002; 224: 333–337.
  • Hahn HB, Hoepner FV, van Kale T, et al. Sonography of acute appendicitis in children: 7 years experience. Pediatr Radiol 1998; 28: 147–151.
  • Rettenbacher T, Hollerweger A, Macheiner P, et al. Outer diameter of the vermiform appendix as a sign of acute appendicitis: evaluation at US. Radiology 2001; 218: 757–762.
  • Sivit CJ, Dudgeen DL, Applegate KE, et al. Evaluation of suspected appendicitis in children and young adults; helical CT. Radiology 2000; 216: 430–433.
  • Vignault F, Filiatrault D, Brandt ML, et al. Acute appendicitis in children: evaluation with US. Radiology 1990; 176: 501–504.
  • Nghiem HV, Jeffrey RB Jr. Acute appendicitis confined to the appendiceal tip: evaluation with graded c o m p r e s s i o n sonography. J Ultrasound Med 1992; 11: 205–207.
  • Öztürkmen AH, Akpınar E, Özmen CA.Visualization of the Normal Appendix in Children by Non-Contrast MDCT. Acta Chir Belg, 2007, 107, 531.
There are 22 citations in total.

Details

Primary Language English
Journal Section Internal Medical Sciences
Authors

Berna Aralan Tan This is me

Meltem Ceyhan This is me

Muzaffer Elmalı This is me

İlkay Koray Bayrak This is me

Nevzat Gürmen This is me

Publication Date December 29, 2009
Submission Date December 25, 2009
Published in Issue Year 2008 Volume: 25 Issue: 1

Cite

APA Aralan Tan, B., Ceyhan, M., Elmalı, M., Bayrak, İ. K., et al. (2009). Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡. Journal of Experimental and Clinical Medicine, 25(1), 1-4. https://doi.org/10.5835/jecm.v25i1.1042
AMA Aralan Tan B, Ceyhan M, Elmalı M, Bayrak İK, Gürmen N. Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡. J. Exp. Clin. Med. December 2009;25(1):1-4. doi:10.5835/jecm.v25i1.1042
Chicago Aralan Tan, Berna, Meltem Ceyhan, Muzaffer Elmalı, İlkay Koray Bayrak, and Nevzat Gürmen. “Ultrasonografi Ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡”. Journal of Experimental and Clinical Medicine 25, no. 1 (December 2009): 1-4. https://doi.org/10.5835/jecm.v25i1.1042.
EndNote Aralan Tan B, Ceyhan M, Elmalı M, Bayrak İK, Gürmen N (December 1, 2009) Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡. Journal of Experimental and Clinical Medicine 25 1 1–4.
IEEE B. Aralan Tan, M. Ceyhan, M. Elmalı, İ. K. Bayrak, and N. Gürmen, “Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡”, J. Exp. Clin. Med., vol. 25, no. 1, pp. 1–4, 2009, doi: 10.5835/jecm.v25i1.1042.
ISNAD Aralan Tan, Berna et al. “Ultrasonografi Ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡”. Journal of Experimental and Clinical Medicine 25/1 (December 2009), 1-4. https://doi.org/10.5835/jecm.v25i1.1042.
JAMA Aralan Tan B, Ceyhan M, Elmalı M, Bayrak İK, Gürmen N. Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡. J. Exp. Clin. Med. 2009;25:1–4.
MLA Aralan Tan, Berna et al. “Ultrasonografi Ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡”. Journal of Experimental and Clinical Medicine, vol. 25, no. 1, 2009, pp. 1-4, doi:10.5835/jecm.v25i1.1042.
Vancouver Aralan Tan B, Ceyhan M, Elmalı M, Bayrak İK, Gürmen N. Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡. J. Exp. Clin. Med. 2009;25(1):1-4.