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  • Title: The value of the barium enema in the diagnosis of acute appendicitis.
    Author: Rajagopalan AE, Mason JH, Kennedy M, Pawlikowski J.
    Journal: Arch Surg; 1977 Apr; 112(4):531-3. PubMed ID: 849164.
    Abstract:
    Contrary to popular belief, the barium enema is a safe diagnostic tool in the management of acute appendicitis. This is a survey of our experience over three years with 489 cases of suspected acute appendicitis. Two hundred eighteen barium enema examinations were done. The barium enema has a high degree of pathological correlation (97.14%). It has reduced negative surgical exploration in women between 11 and 40 years of age. This group traditionally represents the greatest diagnostic challenge in appendicitis. As a result, our negative exploration rate has been reduced to a figure below the average for this disease. We recommend its performance in all patients who pose a diagnostic dilemma.
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