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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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CT findings in acute peritonitis: a pattern-based approach.

Antonella Filippone1, Roberta Cianci, Andrea Delli Pizzi

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Acute peritonitis can cause peritoneal thickening, but overlapping imaging features complicate diagnosis. This study uses computed tomography findings to differentiate causes of acute peritoneal disease.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Pathology

Background:

  • Inflammatory and infectious conditions can cause acute peritoneal thickening.
  • Differentiating causes of acute peritonitis is challenging due to overlapping clinical and imaging features.

Purpose of the Study:

  • To provide a computed tomography (CT)-based approach for diagnosing acute peritonitis.
  • To differentiate between various causes of acute peritoneal thickening using CT findings.

Main Methods:

  • Review of CT imaging in patients with acute peritonitis.
  • Analysis of peritoneal thickening characteristics (smooth, irregular, nodular).
  • Evaluation of ancillary CT findings to support differential diagnosis.

Main Results:

  • Specific CT features of peritoneal thickening can help narrow the differential diagnosis.
  • Ancillary findings on CT provide further clues to the underlying cause of acute peritonitis.

Conclusions:

  • A CT-based approach incorporating morphologic characteristics and ancillary findings improves diagnostic accuracy for acute peritonitis.
  • This imaging strategy aids in distinguishing between various causes of acute peritoneal disease.