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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2025; 17(9): 105779
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.105779
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.105779
Application value of abdominal ultrasonography in the diagnosis of pediatric patients aged 3-12 years with acute appendicitis
Min Dai, Fu-Wang Zhang, Department of Ultrasound, The First People's Hospital of Jiashan County, Jiaxing 314100, Zhejiang Province, China
Wei Jiang, Department of Radiology, The First People's Hospital of Jiashan County, Jiaxing 314100, Zhejiang Province, China
Author contributions: Dai M wrote and reviewed the manuscript; Dai M, Zhang FW and Jiang W collected the data; all authors annotated the manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of First People's Hospital of Jiashan County.
Informed consent statement: Data was de-identified and retrospectively collected, and therefore informed consent was not required from each patient.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: Data used in this study are available from the corresponding author.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min Dai, Assistant Professor, Department of Ultrasound, The First People's Hospital of Jiashan County, No. 1218 Tiyu South Road, Jiaxing 314100, Zhejiang Pro
Received: May 16, 2025
Revised: June 26, 2025
Accepted: July 24, 2025
Published online: September 27, 2025
Processing time: 131 Days and 0.1 Hours
Revised: June 26, 2025
Accepted: July 24, 2025
Published online: September 27, 2025
Processing time: 131 Days and 0.1 Hours
Core Tip
Core Tip: Comparative research regarding the diagnostic effectiveness of abdominal ultrasonography (AUS) vs computed tomography (CT) for pediatric acute appendicitis (AA) remains limited. This study involved 102 children aged 3-12 years suspected of AA to compare their clinical utility based on appendiceal characteristics and diagnostic performance. The results confirmed notable abnormalities in appendix-related parameters among patients with AA. AUS showed diagnostic potential for pediatric cases, and the accuracy increased when it was combined with CT. These findings highlight a pathway (AUS + CT) to more accurate diagnoses, reduced surgical overtreatment, and efficient resource use.