Issue: 2012, Vol. 17, No. 2

Dmitrieva Е. В., Bulanov M. N., Nesterenko T. S., Perminov E. N., Shahnina I. A.

POSSIBILITIES OF ULTRASOUND EXAMINATION IN DIAGNOSIS OF ACUTE PHLEGMONOUS APPENDICITIS

Keywords

acute phlegmonous appendicitis, diagnostic criteria, ultrasound examination, doplerography

Abstarct

In order to develop complex ultrasound criteria for the diagnosis of acute phlegmonous appendicitis the authors evaluated biometric parameters, ultrasound structure of the wall and lumen, elasticity of appendicular process in 31 children aged 4-16 years. The following criteria were determined: the improvement of appendicular process visualization, both in typical and in atypical localization; the increase of all biometric parameters of phlegmonously changed vermicular process, the most diagnostic meaning from which had anteroposterior size; the increase of the process walls thickness in reservation of their continuity and uniformity; the increase of the appendix lumen thickness and alteration of its echostructure; the diminishment of vermicular process compression index, testifi ed to the decrease of its elasticity; the reinforcement of vermicular process wall hemodynamics, registered by color dopplerography and characterized its infl ammatory hyperemia.