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Computed tomography in complicated acute appendicitis.

M A Feldberg, M J Hendriks, P F van Waes

    Gastrointestinal Radiology
    |January 1, 1985
    PubMed
    Summary
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    Complicated appendicitis can cause abscesses in unexpected abdominal areas. CT scans help diagnose these diverse inflammatory processes before surgery.

    Area of Science:

    • Radiology
    • Surgical Pathology
    • Gastroenterology

    Background:

    • Acute appendicitis is a common surgical emergency.
    • Perforation can lead to intraabdominal abscess formation.
    • Appendiceal abscesses can occur in various anatomical locations.

    Observation:

    • Five patients with complicated appendicitis presented with abscesses in unusual sites: anterior pararenal space, retroperitoneum, subcutaneous tissue, intraperitoneal cavity, and mesentery.
    • Computed tomography (CT) accurately diagnosed these diverse inflammatory processes in most cases.
    • A case of ileocecal carcinoid with mesenteric involvement mimicked appendicitis.

    Findings:

    • Complicated appendicitis can manifest with widespread, multifocal abscesses.
    • CT imaging is crucial for identifying the extent and location of appendiceal abscesses.

    Related Experiment Videos

  • Differential diagnosis should include other pathologies like carcinoid tumors.

    • Implications:

    • Awareness of varied abscess locations is vital for timely diagnosis and treatment of appendicitis.
    • CT imaging aids in surgical planning and improves patient outcomes.
    • Understanding atypical presentations prevents diagnostic delays and misdiagnosis.