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The acute right lower quadrant: CT evaluation.

Michael Macari1, Emil J Balthazar

  • 1Department of Radiology, Abdominal Imaging, New York University Medical Center, Medical Center, Tisch Hospital, 560 First Avenue, Suite HW 207, New York, NY 10016, USA. michael.macari@med.nyu.edu

Radiologic Clinics of North America
|December 10, 2003
PubMed
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Acute right lower quadrant pain evaluation often involves computed tomography (CT). Oral and intravenous contrast-enhanced CT is a reliable method for diagnosing appendicitis and other causes of right lower quadrant pain.

Area of Science:

  • Radiology
  • Abdominal Imaging
  • Emergency Medicine

Background:

  • Acute right lower quadrant pain is a frequent clinical presentation.
  • Appendicitis is the leading cause of such pain.
  • Computed tomography (CT) is the gold standard for diagnosis.

Purpose of the Study:

  • To highlight the utility of CT in evaluating right lower quadrant pain.
  • To emphasize the role of contrast-enhanced CT in diagnosing appendicitis and alternative conditions.

Main Methods:

  • Review of CT imaging techniques for right lower quadrant pain.
  • Focus on oral and intravenous contrast-enhanced CT protocols.
  • Discussion of diagnostic accuracy for appendicitis and other pathologies.

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Main Results:

  • Contrast-enhanced CT effectively diagnoses appendicitis.
  • CT identifies numerous other conditions causing right lower quadrant pain.
  • Oral and i.v. contrast-enhanced CT is the most common and reliable technique.

Conclusions:

  • CT with oral and i.v. contrast is crucial for evaluating acute right lower quadrant pain.
  • This imaging modality aids in differentiating appendicitis from other causes.
  • It remains the most dependable method for patient assessment in this scenario.