{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T02:47:25Z","timestamp":1789094845633,"version":"build-2803163510"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,9,17]],"date-time":"2013-09-17T00:00:00Z","timestamp":1379376000000},"content-version":"vor","delay-in-days":259,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION:<\/jats:title>\n Despite reported poor sensitivity and specificity, plain abdominal radiographs have a role in the investigation of suspected appendicitis.<\/jats:p>\n <\/jats:sec>\n \n PRESENTATION OF CASE:<\/jats:title>\n We report a case of a previously healthy 47 year old man, who presented with sudden onset abdominal pain associated with a raised temperature. He gave a short history of pain around the umbilicus, which radiated to his right iliac fossa over a period of hours. On examination his abdomen was soft with rebound tenderness in the right iliac fossa. Investigations revealed white cell count 11.2 \u00d7 109\/L, CRP 4 mg\/L and normal haemoglobin, renal and liver function tests. An inflamed appendix was visible with thickened walls on a plain abdominal radiograph and was confirmed during laparoscopic appendectomy and subsequent histology. He made good recovery and was discharged.<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION:<\/jats:title>\n Prominent appendiceal wall and air in the appendix has been described in the literature as a CT finding that can distinguish appendicitis from other differential diagnoses and here we present a case of diagnosis of appendicitis on a plain abdominal radiograph showing this sign which to the best of our knowledge is rarely seen on abdominal films.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Careful assessment of plain abdominal films in suspected appendicitis is encouraged not just for exclusion of other causes of pain but also in the possible detection of an inflamed appendix.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.09.008","type":"journal-article","created":{"date-parts":[[2013,9,27]],"date-time":"2013-09-27T19:12:22Z","timestamp":1380309142000},"page":"1091-1092","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A plain abdominal radiograph diagnosis of appendicitis"],"prefix":"10.1097","volume":"4","author":[{"given":"Collins","family":"Ekere","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Lillie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaitanya","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Clarke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20260114","first-page":"45","article-title":"The plain abdominal radiograph in acute appendicitis","volume":"61","author":"Thorpe","year":"1979","journal-title":"Ann R Coll Surg Engl"},{"key":"R2-11-20260114","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0735-6757(99)90077-3","article-title":"Plain abdominal radiography in clinically suspected appendicitis: diagnostic yield, resource use, and comparison with CT","volume":"17","author":"Rao","year":"1999","journal-title":"Am J Emerg Med"},{"key":"R3-11-20260114","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/02841850312331287819","article-title":"The most useful findings for diagnosing acute appendicitis on contrast-enhanced helical CT","volume":"44","author":"Choi","year":"2003","journal-title":"Acta Radiol"},{"key":"R4-11-20260114","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.acra.2008.02.009","article-title":"Independent predictors of acute appendicitis on CT with pathologic correlation","volume":"15","author":"Ives","year":"2008","journal-title":"Acad Radiol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261213002861?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261213002861?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304120-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:14:48Z","timestamp":1768396488000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304120-00011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":4,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2013.09.008","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}