The appearance of a normal appendix on barium enema examination does not rule out a diagnosis of chronic appendicitis: Report of a case and review of the literature

Tatsuro Okamoto, Tohru Utsunomiya, Sadaaki Inutsuka, Tomoru Sakaguchi, Takayuki Notsuka, Takashi Maeda, Keizo Sugimachi

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Abstract

We report herein the rare case of a 15-year-old girl with chronic appendicitis in whom the appendix was clearly depicted by a barium enema (BE) examination. The patient presented with a 4-month history of diffuse abdominal pain and tenderness in the lower abdomen. Neither computed tomography nor ultrasonography showed any abnormal findings in the lower abdomen or pelvic cavity. Furthermore, BE examination depicted an appendix filled with the contrast medium. However, at elective surgery, she was found to have chronic appendicitis which was later confirmed histologically. Following this case report, a discussion on the value and limitations of BE examination for the diagnosis of acute and chronic appendicitis is presented.

Original languageEnglish
Pages (from-to)550-553
Number of pages4
JournalSurgery today
Volume27
Issue number6
DOIs
Publication statusPublished - Jun 26 1997

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Appendicitis
Abdomen
Abdominal Pain
Contrast Media
Ultrasonography
Tomography
Barium Enema

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

The appearance of a normal appendix on barium enema examination does not rule out a diagnosis of chronic appendicitis : Report of a case and review of the literature. / Okamoto, Tatsuro; Utsunomiya, Tohru; Inutsuka, Sadaaki; Sakaguchi, Tomoru; Notsuka, Takayuki; Maeda, Takashi; Sugimachi, Keizo.

In: Surgery today, Vol. 27, No. 6, 26.06.1997, p. 550-553.

Research output: Contribution to journalArticle

Okamoto, Tatsuro ; Utsunomiya, Tohru ; Inutsuka, Sadaaki ; Sakaguchi, Tomoru ; Notsuka, Takayuki ; Maeda, Takashi ; Sugimachi, Keizo. / The appearance of a normal appendix on barium enema examination does not rule out a diagnosis of chronic appendicitis : Report of a case and review of the literature. In: Surgery today. 1997 ; Vol. 27, No. 6. pp. 550-553.
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