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MRI for clinically suspected pediatric appendicitis: case interpretation

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Abstract

As utilization of MRI for clinically suspected pediatric appendicitis becomes more common, there will be increased focus on case interpretation. The purpose of this pictorial essay is to share our institution’s case interpretation experience. MRI findings of appendicitis include appendicoliths, tip appendicitis, intraluminal fluid–debris level, pitfalls of size measurements, and complications including abscesses. The normal appendix and inguinal appendix are also discussed.

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Acknowledgments

We thank our pediatric surgical colleagues (Drs. Robert Cilley, Brett Engbrecht, Mary Santos, Dorothy Rocourt, Kerry Fagelman, Shawn Safford and Peter Dillon) and all of our emergency medicine colleagues (including Drs. Robert Olympia and Gail Rudnitski) for their support. We are grateful to all of our MR technologists (including team leaders Jason Hatter, Joan Hartman and Candice Denchy).

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Authors and Affiliations

  1. Division of Pediatric Radiology, Department of Radiology, Penn State Milton S. Hershey Medical Center, Mail Code H066, 500 University Drive, P.O. Box 850, Hershey, PA, 17033-0850, USA

    Michael M. Moore, James M. Brian, Sosamma T. Methratta, Michael A. Hulse, Arabinda K. Choudhary, Kathleen D. Eggli & Danielle K. B. Boal

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  1. Michael M. Moore
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  2. James M. Brian
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  3. Sosamma T. Methratta
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  4. Michael A. Hulse
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  5. Arabinda K. Choudhary
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  6. Kathleen D. Eggli
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  7. Danielle K. B. Boal
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Correspondence to Michael M. Moore.

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Moore, M.M., Brian, J.M., Methratta, S.T. et al. MRI for clinically suspected pediatric appendicitis: case interpretation. Pediatr Radiol 44, 605–612 (2014). https://doi.org/10.1007/s00247-013-2866-z

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  • DOI: https://doi.org/10.1007/s00247-013-2866-z

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