Advances in imaging diagnosis and treatment of acute appendicitis in special populations

doi:10.3877/cma.j.issn.1674-0785.2018.05.007

Abstract

Abstract:

Acute appendicitis is a common and frequent disease. It is not difficult to diagnose typical appendicitis by laboratory examination combined with clinical manifestations. However, for some highly suspected patients with atypical clinical manifestations and variable location of appendicitis, it is difficult to diagnose, especially in children, pregnant women, and elderly patients. Currently, imaging examinations, including CT, MRI, barium enema X-ray, and colonoscopy, are important for appendicitis diagnosis. Laparotomy has been widely used in acute appendicitis after a clear diagnosis is achieved. Despite this, laparoscopic appendectomy, a minimally invasive procedure, has been accepted. In recent years, endoscopic retrograde appendicitis therapy, as a kind of innovative surgery, has attracted wide attention from scholars and may become a new model for the treatment of acute appendicitis in the future. This article reviews the diagnosis and treatment of acute appendicitis in special populations.

Key words: Special population, Acute appendicitis, Imaging diagnosis

Yonggang Tian, Jinfang Yang, Li Yao, Ximei Li, Yaning Feng, Ruijuan Xin, Qian Hao, Feihu Bai. Advances in imaging diagnosis and treatment of acute appendicitis in special populations[J]. Chinese Journal of Clinicians(Electronic Edition), 2018, 12(05): 293-296.

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