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DIAGNOSTIC TRENDS IN ACUTE APPENDICITIS.

S A Sovtsov, Zh A Revel’-Muroz, V Yu Shkarednykh

    Vestnik Khirurgii Imeni I. I. Grekova
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    Diagnosing acute appendicitis can be challenging. This study found that multi-helical computed tomography (CT) offers high accuracy in confirming or ruling out appendicitis when clinical diagnosis is uncertain.

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    Area of Science:

    • Medical Imaging
    • Surgical Diagnostics
    • Gastroenterology

    Background:

    • Acute appendicitis diagnosis can be complex, especially when clinical and laboratory findings are inconclusive.
    • Accurate and timely diagnosis is crucial for effective treatment and preventing complications.

    Purpose of the Study:

    • To evaluate the diagnostic efficacy of ultrasound, diagnostic laparoscopy, and multi-helical computed tomography (CT) for acute appendicitis.
    • To compare the accuracy of these imaging modalities in cases with difficult clinical diagnoses.

    Main Methods:

    • Retrospective analysis of 139 patients with suspected acute appendicitis.
    • Application of ultrasound investigation, diagnostic laparoscopy, and multi-helical CT.
    • Comparison of diagnostic results from each modality.

    Main Results:

    • Ultrasound identified signs of acute appendicitis in 31.6% of patients.
    • Diagnostic laparoscopy confirmed appendicitis in 70.2% of the 37 patients who underwent the procedure.
    • Multi-helical CT confirmed or excluded the diagnosis in 90.8% of patients, demonstrating high diagnostic accuracy.

    Conclusions:

    • Multi-helical CT is a valuable non-invasive tool for diagnosing acute appendicitis.
    • CT significantly aids in managing cases where clinical diagnosis is challenging.
    • The study highlights the high diagnostic accuracy of CT for appendicitis.