Methodological Ultrasound Approach and Imaging Evaluation of Stages of Acute Appendicitis in Children: A Pictorial Review

Dr. Mohammed Asrari Gaffoor, Dr. Prashant G Patil, Dr. Darshita Basappa

Abstract: Acute appendicitis is one of the most common surgical causes of acute abdomen requiring emergent surgery. Delay in diagnosis / incomplete evaluation can either lead to progression to complicated appendicitis or increase likelihood of negative appendectomies. Ultrasound (USG) staging can triage treatment options for appendicitis by directing emergent laparoscopic appendectomy for uncomplicated cases, open appendectomy for complicate cases, and conservative management (antibiotics with percutaneous drainage) for perforated appendicitis with abscess formation. The severity of appendicitis was classified according to layer patterns of the appendiceal wall as described by Yuasa in 1986.

Keywords: Appendicitis, Ultrasound staging, Surgical options, Diagnosis delay, Appendiceal wall