December 1964


Author Affiliations

Pediatrics United States Public Health Hospital Staten Island, NY

Am J Dis Child. 1964;108(6):697. doi:10.1001/archpedi.1964.02090010699018

To the Editor: There is a certain statement in Dr. Stanley-Brown's fine article, "Acute Appendicitis During First Five Years of Life," Amer J Dis Child 108:134, 1964, that must be contested. The author discredits the value of radiographic examination of the abdomen for diagnostic purposes in acute appendicitis with the statement that it is not of much practical value. For the experienced clinician who weighs each factor, clinical and laboratory, in arriving at the diagnosis of appendicitis, radiographic examination is only one small point in the evaluation, and I agree that it may be helpful in only a small number of cases; but to flatly discredit this easily done procedure is wrong. In the experience of those who recommend radiographs, the finding of a calcified fecolith on x-ray, in the presence of an acute abdomen, means appendicitis in almost 100% of the cases.1 Thus, this one added factor, when

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