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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Introduction
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Update on acute appendicitis: Typical and untypical findings.

S Borruel Nacenta1, L Ibáñez Sanz1, R Sanz Lucas1

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Summary

Acute appendicitis diagnosis relies on imaging like ultrasonography, CT, and MRI. Radiologists must identify complicated appendicitis to guide antibiotic therapy versus surgery.

Keywords:
ApendicitisApendicitis atípicaAppendicitisAtypical appendicitisComplicacionesComplicationsComputed tomographyDiagnosisDiagnósticoEcografíaTomografía computarizadaUltrasonography

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Area of Science:

  • Radiology
  • Emergency Medicine
  • Surgical Pathology

Background:

  • Acute appendicitis is a leading cause of emergency abdominal surgery globally.
  • Diagnostic imaging significantly reduces unnecessary surgeries and healthcare expenses.
  • Evolving evidence supports antibiotic therapy for complicated appendicitis, necessitating accurate radiologic assessment.

Approach:

  • This review details diagnostic criteria for appendicitis across ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI).
  • It outlines diagnostic protocols and discusses atypical presentations.
  • The review also covers differential diagnoses for conditions mimicking appendicitis.

Key Points:

  • Defines imaging criteria for appendicitis using ultrasonography, CT, and MRI.
  • Explains diagnostic protocols and atypical appendicitis presentations.
  • Highlights conditions that mimic appendicitis, aiding accurate diagnosis.

Conclusions:

  • Accurate imaging interpretation is crucial for differentiating appendicitis and guiding treatment decisions.
  • Radiologists play a key role in determining appropriate management, including antibiotic therapy for complicated cases.
  • Understanding imaging findings and mimics improves patient outcomes and optimizes resource utilization.