Appendicular Lymphoid Hyperplasia in the Differential Diagnosis of Acute Appendicitis: Sonographic Findings
Journal
Journal of Diagnostic Medical Sonography
ISSN
8756-4793
1552-5430
Date Issued
2020
Author(s)
Lizbet Pérez
Marcela Cortes
Margarita Switt
Javiera Aguirre
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:sec><jats:title>Objectives:</jats:title><jats:p> To describe sonographic findings of appendicular lymphoid hyperplasia (ALH) and to report demographic data of patients with ALH operated for acute appendicitis (AA). </jats:p></jats:sec><jats:sec><jats:title>Materials and Methods:</jats:title><jats:p> In a retrospective study, 694 biopsies of consecutive AA surgeries with previous ultrasonography (US) were reviewed, after selecting the ALH cases. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Twenty-five ALH cases were proved histologically (3.8% of appendectomies). The mean age was 13 years, with 84% under 20 years. US findings showed increased appendiceal diameter (average 7 mm) (82%), hypoechogenic pseudonodular mucosal thickening (50%), concentric parietal thickening (13%), and periappendiceal inflammatory changes (18%). In four cases, a normal appendix was noted on US, with two associated with intestinal intussusceptions. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> ALH is a benign entity most frequent in children that can predispose to AA. Both pathologies can increase the appendiceal diameter. In the pediatric group, ALH could be considered when hypoechogenic pseudonodular appendicular mucosal thickening in the absence of periappendiceal inflammatory changes occurs. </jats:p></jats:sec>
Subjects
appendicitis
;
appendicular lymphoid hyperplasia
;
ultrasonography
;
acute appendicitis
;
acute appendicitis
;
adolescent
;
adult
;
appendectomy
;
appendiceal diameter
;
appendix disease
;
appendix intussusception
;
article
;
child
;
clinical article
;
cohort analysis
;
concentric parietal thickening
;
differential diagnosis
;
echography
;
female
;
histology
;
histopathology
;
human
;
human tissue
;
hypoechogenic pseudonodular mucosal thickening
;
inflammatory bowel disease
;
inflammatory infiltrate
;
intestinal intussusception
;
intestine parameters
;
lymphoid hyperplasia
;
male
;
mucosal disease
;
observational study
;
priority journal
;
retrospective study