Yue YZ, Hu Q, Lu TX. Diagnostic efficacy, imaging characteristics, and detection accuracy of transabdominal superficial ultrasonography for various types of appendicitis. World J Gastrointest Surg 2025; 17(6): 103030 [DOI: 10.4240/wjgs.v17.i6.103030]
Corresponding Author of This Article
Teng-Xiang Lu, MD, Hemodialysis Room, Linquan County People’s Hospital, No. 206 Jianshe South Road, Linquan County, Fuyang 236400, Anhui Province, China. 645241728@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jun 27, 2025; 17(6): 103030 Published online Jun 27, 2025. doi: 10.4240/wjgs.v17.i6.103030
Diagnostic efficacy, imaging characteristics, and detection accuracy of transabdominal superficial ultrasonography for various types of appendicitis
Yu-Zhen Yue, Qin Hu, Teng-Xiang Lu
Yu-Zhen Yue, Department of Ultrasound Medicine, Linquan County People’s Hospital, Fuyang 236400, Anhui Province, China
Qin Hu, Department of Gastrointestinal Surgery, Linquan County People’s Hospital, Fuyang 236400, Anhui Province, China
Teng-Xiang Lu, Hemodialysis Room, Linquan County People’s Hospital, Fuyang 236400, Anhui Province, China
Author contributions: Yue YZ and Lu TX conceptualized this study; Hu Q and Lu TX contributed to data collection; Yue YZ drafted the initial manuscript and contributed to formal analysis; Hu Q provided guidance for this study; Yue YZ, Hu Q, and Lu TX contributed to methodology and visualization of this manuscript; Lu TX and Hu Q validated this study. All authors participated in this study and jointly reviewed and edited the manuscript.
Institutional review board statement: This study has been reviewed and approved by the ethics committee of Linquan People’s Hospital, No. LQYY-2023-009.
Informed consent statement: This study has been signed and agreed by the patient and guardian.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No data available.
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: Teng-Xiang Lu, MD, Hemodialysis Room, Linquan County People’s Hospital, No. 206 Jianshe South Road, Linquan County, Fuyang 236400, Anhui Province, China. 645241728@qq.com
Received: February 26, 2025 Revised: March 22, 2025 Accepted: May 8, 2025 Published online: June 27, 2025 Processing time: 93 Days and 4.2 Hours
Abstract
BACKGROUND
Appendicitis is an abdominal medical emergency and can be of various types. It can lead to a series of gastrointestinal symptoms and can affect health status. Therefore, attention should be paid to the diagnosis of appendicitis to improve prognosis.
AIM
To assess the value of transabdominal superficial ultrasonography (TASU) in the clinical diagnosis of various types of appendicitis.
METHODS
A total of 100 patients suspected to have acute appendicitis that were admitted to our hospital between July 2022 and July 2024 were selected for this study. All of them underwent conventional abdominal ultrasonography and TASU. Taking surgical pathology as the gold standard, the diagnostic efficacy of the two ultrasonographic examinations was compared, and the ultrasonographic features of patients with different types of appendicitis were analyzed.
RESULTS
Comparison with the gold standard showed that among the 100 patients suspected of appendicitis, 72 cases were diagnosed as appendicitis while 28 cases were deemed to be normal. Compared with conventional abdominal ultrasonography, TASU displayed a higher diagnostic efficiency (P < 0.05). Among the 72 patients with acute appendicitis, 22 cases were diagnosed as simple appendicitis, 26 cases as suppurative appendicitis, and 24 cases as gangrenous appendicitis. TASU was more effective in the diagnosis of the various types of appendicitis, and the difference was significant between groups (P < 0.05). Ultrasonography radiographs revealed an enlarged appendix with a tubular anechoic area, a widened lumen, with a visible occlusion or stercoral shadow and a cystic mass in the parenchyma.
CONCLUSION
TASU can accurately diagnose appendicitis and also be used to identify the various types of appendicitis, thereby having application value.
Core Tip: This study demonstrates the diagnostic superiority of transabdominal superficial ultrasonography (TASU) in identifying acute appendicitis compared to conventional ultrasonography. TASU accurately detected various types of appendicitis, including simple, suppurative, and gangrenous, based on key imaging signs such as appendix enlargement, occlusion, and cystic masses. The findings highlight TASU’s enhanced diagnostic efficiency, making it a valuable tool for accurate and early diagnosis of appendicitis, which can improve patient outcomes.
