Ultrasonographic evaluation of cecal appendix diameter in pediatric population

Einstein (Sao Paulo). 2022 Jul 4:20:eAO6935. doi: 10.31744/einstein_journal/2022AO6935. eCollection 2022.

Abstract

Objective: To stratify ultrasound samples in a pediatric population undergoing evaluation for acute appendicitis to examine the variability in cecal appendix diameter, in different age groups, and to determine whether there is a prevalent value for each age group.

Methods: A retrospective cross-sectional study with 196 children aged 0 to 15 years. Data were extracted from reports of ultrasound examinations carried out between 2008 and 2015. Children with sonographic diagnosis of appendicitis or other signs of periappendiceal inflammation were excluded.

Results: The evaluation of the anteroposterior measurement of the cecal appendix revealed a mean diameter of 4.14mm (standard deviation: 0.93mm; 95%CI: 3.86-4.14). Cecal appendix diameter did not differ significant between age groups.

Conclusion: Evaluation of the anteroposterior diameter of the cecal appendix in centimeters in a sample of 196 children aged 0 to15 years revealed a mean diameter of 4.14mm (standard deviation, 0.93mm. There were no significant differences in cecal appendix diameter following stratification by age. Results indicate a single value can be adopted for mean cecal appendix diameter in pediatric populations.

MeSH terms

  • Appendicitis* / diagnostic imaging
  • Appendix* / diagnostic imaging
  • Child
  • Cross-Sectional Studies
  • Humans
  • Retrospective Studies
  • Ultrasonography