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Update on acute appendicitis: Typical and untypical findings
S Borruel Nacenta1, L Ibáñez Sanz1, R Sanz Lucas1
1Sección de Radiología de Urgencias, Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, Spain.
Radiologia
|April 6, 2023
Summary
Acute appendicitis diagnosis relies on imaging like ultrasonography, CT, and MRI. Radiologists must identify complicated appendicitis to guide antibiotic therapy versus surgery.
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.
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