title: Saline-filled appendiceal ultrasonography in clinically equivocal acute appendicitis.
abstract: BACKGROUND
  To establish the value of saline-filled appendiceal ultrasonography in the the diagnosis of clinically equivocal acute appendicitis.
  
  
  METHODS
  Saline-filled ultrasonography was performed in 43 patients with an equivocal clinical diagnosis of acute appendicitis.
  
  
  RESULTS
  Sonography diagnosed 31 of 32 patients without acute appendicitis (97%). A normal appendix was visualized in 15 patients (47%), and we identified a normal appendix in 15 of 22 patients (68%) in whom the colon was cleansed with Golytely(R). Sonography diagnosed 10 of 11 patients with acute appendicitis (91%). In three of 10 patients, the findings corresponded to sonographic pitfalls.
  
  
  CONCLUSIONS
  Saline-filled appendiceal ultrasonography enables the detection of a normal appendix and may overcome sonographic pitfalls in acute appendicitis.
authors.affiliation: Department of Radiology, An San Hospital, Korea University College of Medicine, #516 Ko Jan Dong, An San City, Kyung Ki Do 425-020, Korea.
authors.forename: S H
authors.initials: SH
authors.lastname: Cha
authors.forename: S H
authors.initials: SH
authors.lastname: Kim
authors.forename: E S
authors.initials: ES
authors.lastname: Lee
authors.forename: C M
authors.initials: CM
authors.lastname: Park
authors.forename: I H
authors.initials: IH
authors.lastname: Cha
authors.forename: J H
authors.initials: JH
authors.lastname: Kim
authors.forename: K B
authors.initials: KB
authors.lastname: Chung
authors.forename: W H
authors.initials: WH
authors.lastname: Suh
mesh_terms: D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000000981:diagnostic imaging*; D004573:Electrolytes; D005260:Female; D006801:Humans; D008297:Male; D011092:Polyethylene Glycols; D012965:Sodium Chloride; D012996:Solutions; D014463:Ultrasonography / Q000379:methods
chemical_list: D004573:Electrolytes; C033608:Golytely; D012996:Solutions; D011092:Polyethylene Glycols; D012965:Sodium Chloride