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Related Experiment Videos

CT of appendicitis.

E J Balthazar, A J Megibow, D Hulnick

    AJR. American Journal of Roentgenology
    |October 1, 1986
    PubMed
    Summary
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    Computed tomography (CT) effectively diagnoses appendicitis in most cases, identifying intraabdominal disease and specific appendicitis diagnoses. However, mild appendicitis without surrounding inflammation may be missed by CT scans.

    Area of Science:

    • Radiology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Appendicitis remains a common surgical emergency.
    • Accurate diagnosis is crucial to prevent complications.
    • Computed tomography (CT) is frequently used for diagnosis.

    Purpose of the Study:

    • To analyze and describe CT findings in patients with acute appendicitis.
    • To evaluate the diagnostic accuracy of CT for appendicitis.

    Main Methods:

    • Retrospective analysis of CT scans from 38 patients with acute appendicitis.
    • Correlation of CT findings with surgical outcomes.

    Main Results:

    • CT identified intraabdominal disease in 92% of patients.

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  • Specific diagnosis of appendicitis was made in 79% of cases.
  • Common findings included pericecal inflammation (68%) and abscess (55%).
  • Conclusions:

    • CT is a valuable tool for diagnosing appendicitis, correlating well with surgical findings.
    • CT sensitivity is comparable to contrast enema but offers better disease characterization.
    • Mild appendicitis without periappendiceal changes may not be detected by CT.