Abstract：
BACKGROUND:The optimal treatment of perforated appendicitis remains controversial, but there is a trend toward nonoperative management. CT scanning might be helpful in determining which patients could benefit from this treatment option. OBJECTIVE:To determine the value of CT imaging in predicting clinical success or failure in children with nonoperative management of perforated appendicitis. MATERIALS AND METHODS:Admission CT scans of 34 children with perforated appendicitis treated nonoperatively between January 2003 and June 2006 were retrospectively reviewed. All children were given intravenous antibiotics. Clinical outcome was correlated with imaging findings including the maximal area, number and complexity of collections, presence of an appendicolith or extraluminal air, and extent of intra-abdominal disease outside the right lower quadrant. Patients with an accessible simple collection were drained if their clinical condition did not improve. RESULTS:Successful nonoperative management was achieved in 20 patients; 14 patients failed nonoperative therapy. The presence of collections in three or more sectors (defined as the pelvis and four abdominal quadrants) correlated strongly with clinical failure (P < 0.05), while there was no correlation found between clinical outcome and the presence of an appendicolith, extraluminal air, distant ascites, and collection size or complexity. CONCLUSION:In the nonoperative management of children with perforated appendicitis, admission CT findings demonstrating disease beyond the right lower quadrant correlate with treatment failure.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Levin T,Whyte C,Borzykowski R,Han B,Blitman N,Harris Bdoi
10.1007/s00247-006-0384-ysubject
Has Abstractpub_date
2007-03-01 00:00:00pages
251-5issue
3eissn
0301-0449issn
1432-1998journal_volume
37pub_type
杂志文章abstract：BACKGROUND:It has been suggested that the pelvis should not be habitually included on abdominal CT examinations, but the potential benefit of such a practice in childhood abdominal malignancies is unknown. OBJECTIVE:To estimate the yield and potential diagnostic benefit of abnormal findings on CT of the pelvis in chil...
journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：2006-03-01 00:00:00
abstract：:Sickle cell disease is a major cause of pediatric stroke. Understanding the disease that affects the brain as infarctions, both clinically apparent and silent, requires an understanding of how the blood vessels are affected, the way in which both the brain and the blood vessels are imaged by MRI and MRA and the mechan...
journal_title：Pediatric radiology
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abstract：:We present a case of lethal hypoplastic left heart syndrome missed at routine 20-week antenatal ultrasound examination because the left ventricle was of normal size on the standard four-chamber cardiac view. Hypoplastic left heart syndrome includes a spectrum of cardiac malformations. This case illustrates the difficu...
journal_title：Pediatric radiology
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abstract：BACKGROUND:Keutel syndrome is a rare autosomal-recessive condition characterized by abnormal cartilage calcification. Neuroimaging findings associated with this condition have been randomly described in the literature. OBJECTIVE:To systematically evaluate the neuroimaging findings in a series of children with Keutel s...
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abstract：:ACTH is used in childhood to treat infantile spasms and acute cerebellar encephalopathy (opsoclonus-cerebellar ataxia syndrome). We report two infants with ultrasonographic and CT evidence of massive, reversible adrenal enlargement secondary to exogenous ACTH therapy for these disorders. ...
journal_title：Pediatric radiology
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abstract：:Pediatric multiple sclerosis (MS) deserves special attention because of its impact on cognitive function and development. Although knowledge regarding pediatric MS has rapidly increased, understanding the peculiarities of this population remains crucial for disease management. There is limited expertise about the effi...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470000331
更新日期：2000-11-01 00:00:00
abstract：:Paternal uniparental disomy for chromosome 14 (patUPD14) is a rare condition, this being the eighth report. A male infant, born prematurely, was noted to have extremely lax skin and bilateral inguinal hernias. Skin biopsy confirmed the clinical diagnosis of congenital cutis laxa, but this did not explain the limb abno...
journal_title：Pediatric radiology
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abstract：BACKGROUND:Inferior vena cava (IVC) filter placement in children has been described in literature, but there is variability with regard to their indications. No nationally representative study has been done to compare practice patterns of filter placements at adult and children's hospitals. OBJECTIVE:To perform a nati...
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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更新日期：1985-01-01 00:00:00
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pub_type： 杂志文章,实务指引
doi：10.1007/s00247-007-0705-9
更新日期：2008-03-01 00:00:00
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更新日期：2001-12-01 00:00:00
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更新日期：2020-04-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2018-01-01 00:00:00
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pub_type： 杂志文章,多中心研究
doi：10.1007/s00247-007-0605-z
更新日期：2007-12-01 00:00:00
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更新日期：1997-09-01 00:00:00
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更新日期：2019-01-01 00:00:00
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journal_title：Pediatric radiology
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更新日期：1998-03-01 00:00:00
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