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The diagnosis of pelvic endometriosis is based on the combination of clinical examination, endovaginal ultrasonography and pelvic MRI. Ultrasonography displays a moderate sensitivity and a high specificity. Pelvien MRI displays a better sensitivity and lower specificity., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

Since the development of the new imaging techniques, such as ultrasonography and computed tomography, the attitude over acute appendicitis syndrome has drastically evolved, and the rate of negative appendectomies has noticeably decreased. These techniques allow, not only to improve the performance of the diagnosis of appendicitis, but also to assess the severity and the complications prior to surgery. Furthermore they are useful for establishing alternative diagnoses of the many diseases that may mimic acute appendicitis.