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Graded compression sonography of abdominal neoplasms mimicking acute appendicitis


, : Graded compression sonography of abdominal neoplasms mimicking acute appendicitis. Gastrointestinal Radiology 17(4): 292-294

Over a 3-year period nine patients (mean age of 43 years) with acute abdominal pain and unsuspected abdominal neoplasms were referred for graded compression sonography to rule out appendicitis. Six of the nine patients had right lower quadrant neoplasms involving the cecum, terminal ileum, iliacus muscle, or iliac lymph nodes. However, in three patients neoplasma was noted outside the right iliac fossa involving the liver, right kidney, and upper abdominal mesentery. This study underscores the fact that in patients without sonographic evidence of acute appendicitis, a survey of the upper abdomen and right flank should routinely be performed in addition to scanning the right iliac fossa and pelvis. In patients more than 50 years of age neoplasma must also be kept in mind in the differential diagnosis of appendicitis.

US$19.90

PMID: 1426842

DOI: 10.1007/bf01888572


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