Ultrasound of Appendicitis

This is a practical guide for all radiologists and clinicians who want to practice or already practice ultrasound in patients with acute pain in the right lower abdomen. The author is one of the first who has used ultrasound to diagnosis appendicitis with a great degree of success.

Inhalt
1 Introduction.- 2 Review of the Literature.- 2.1 Anatomy.- 2.2 Pathophysiology.- 2.3 Epidemiology.- 2.4 Clinical Diagnosis.- 2.5 Recurrent Attacks of Acute Appendicitis.- 2.6 The Problem of the Appendiceal Mass.- 2.7 The False-Positive Clinical Diagnosis.- 2.8 The False-Negative Clinical Diagnosis.- 2.9 Differential Diagnosis.- 2.10 Radiological Examinations.- 2.11 Laparoscopy.- 2.12 Ultrasound Examination.- 3 Examination Technique.- 3.1 Equipment.- 3.2 Examination Technique.- 3.3 Which Type of Transducer?.- 4 Normal Ultrasound Anatomy of the Right Lower Abdomen.- 5 Diagnosis of Appendicitis by Ultrasound.- 5.1 Acute Appendicitis.- 5.2 Abortive Appendicitis and Recurrent Acute Appendicitis.- 5.3 Appendiceal Phlegmon and Appendiceal Abscess.- 5.4 Ultrasound-Guided Percutaneous Drainage of the Appendiceal Abscess.- 5.5 Pitfalls in the Ultrasound Diagnosis of Appendicitis.- 5.6 The Negative Ultrasound Examination.- 6 Differential Diagnosis Using Ultrasound.- 6.1 Bacterial Ileocaecitis.- 6.2 Mesenteric Lymphadenitis.- 6.3 Gynecological Conditions.- 6.4 Caecal Diverticulitis.- 6.5 Urological Conditions.- 6.6 Perforated Peptic Ulcer.- 6.7 Cholecystitis.- 6.8 Caecal Carcinoma.- 6.9 Crohn's Disease.- 6.10 Sigmoid Diverticulitis.- 6.11 Segmental Omental Infarction.- 6.12 Other Conditions.- 7 Indications and Clinical Impact.- References.