Inflamed appendix is not modified Seen and other echografically revealed changes (most – education cystic right ovary) are regarded as a cause of acute abdominal syndrome. Reduce the likelihood of false- echo – graphic conclusions can be exactly as described in the study of children with acute abdominal pain, as well as by increasing the time and the frequency of the study.
During prolonged compression in the right iliac region by cecal growth spasm decreases the influence of artifacts associated with the presence of gas in it and chyme. In some cases it is advisable to carry out follow-up study in 1-2 hours if the patient’s condition allows. Must also be aware of the possibility of the child comorbidity non currently cause of acute abdominal syndrome. Unchanged appendix evaluated as inflammatory transformed.
Analysis of laparoscopic and intraoperative data and the results of histological studies show that the mere detection of the appendix is not a criterion Udet his inflammatory transformation, as it is considered in relation to adults. Conclusion is confirmed by the fact more frequent than in adults, revealing unaltered appendix in healthy children (according to our data, up to 5.2%). Apparently, this is due to very deep location of the appendix in children compared with adults and the ability to use sensors with high resolution (with 7.5 MHz and above). The discovery of the child with acute abdominal pain appendix without inflammatory changes and a diameter of 5.5 mm is the basis for laparoscopy (mild clinical picture) and operations (with an increase in clinical manifestations during follow-up).
Mistaking other tubular structure located in the right iliac region, modified for the appendix. Such a structure is most often the terminal ileum. This error can be avoided by refining the size, location, and peristaltic activity of questionable structure. Complicated forms of acute appendicitis Currently there is no sufficiently complete classification of complicated forms of acute appendicitis in children. It is therefore difficult to develop a unified interpretation of changes in the echographic periappen – lar organs and tissues in delineated forms. Also hampered the search for possible links between changes in bowel and stages of the inflammatory process with spilled its forms. In this section of the form and stage of complicated appendicitis in children treated according to the classification, which we use in our practice.