Appendiceal hyperemia and/or distention is not always appendicitis: appendicitis mimicry in the pediatric population


      Appendicitis is the most common surgical cause of acute abdominal pain in the pediatric population. Several conditions can mimic the clinical presentation of appendicitis, leaving imaging as an essential modality to uncover the etiology, yet under certain circumstances, it can be misleading. Here, we present three cases where findings on multidetector computerized tomography scans supported the diagnosis of appendicitis, yet an alternate cause was found. These cases highlight a particular pitfall of satisfaction of search.


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        • Berbaum KS
        • Franken EA
        • Dorfman DD
        • Rooholamini SA
        • Kathol MH
        • Barloon TJ
        • Behlke FM
        • Sato Y
        • Lu CH
        • el-Khoury GY
        Satisfaction of search in diagnostic radiology.
        Invest Radiol. 1990; 25: 133-140
        • Doria AS
        • Moineddin R
        • Kellenberger CJ
        • Epelman M
        • Beyene J
        • Schuh S
        • Babyn PS
        • Dick PT
        US or CT for diagnosis of appendicitis in children and adults? A meta-analysis.
        Radiology. 2006; 241: 83-94
        • Taylor GA
        • Callahan MJ
        • Rodriguez D
        • Smink DS
        CT for suspected appendicitis in children: an analysis of diagnostic errors.
        Pediatr Radiol. 2006; 36: 331-337
        • Choi D
        • Park H
        • Lee YR
        • Kook SH
        • Kim SK
        • Kwag HJ
        • Chung EC
        The most useful findings for diagnosing acute appendicitis on contrast-enhanced helical CT.
        Acta Radiol. 2003; 44: 574-582
        • Sung T
        • Callahan MJ
        • Taylor GA
        Clinical and imaging mimickers of acute appendicitis in the pediatric population.
        AJR Am J Roentgenol. 2006; 186: 67-74
        • Grattan-Smith JD
        • Blews DE
        • Brand T
        Omental infarction in pediatric patients: sonographic and CT findings.
        AJR Am J Roentgenol. 2002; 178: 1537-1539
        • Lee W
        • Ong CL
        • Chong CC
        • Hwang WS
        Omental infarction in children: imaging features with pathological correlation.
        Singapore Med J. 2005; 46: 328-332
        • Bennett GL
        • Birnbaum BA
        • Balthazar EJ
        CT of Meckel's diverticulitis in 11 patients.
        AJR Am J Roentgenol. 2004; 182: 625-629
        • Modlin IM
        • Kidd M
        • Latich I
        • Zikusoka MN
        • Shapiro MD
        Current status of gastrointestinal carcinoids.
        Gastroenterology. 2005; 128: 1717-1751