Role of Multislice Computed Tomography in Diagnosis of Acute Appendicitis
Mohamed Mahmoud Samy;
Abstract
Appendicitis is the most common cause of acute abdominal pain that requires surgical intervention.
Patients may present with a wide variety of clinical manifestation, and the diagnosis may elude even the most experienced clinicians. The clinical diagnosis is based primarily on the patient history, physical examinations and white blood cell count.
While the clinical diagnosis may be straight forward in patients who present with classic signs and symptoms, atypical presentations may result in diagnostic confusion and delay in treatment. MSCT is a highly accurate means of establishing the diagnosis.
Surrounding inflammatory changes, presence of an appendicolith and cecal apical changes are helpful signs in diagnosing acute appendicitis.
MSCT is useful in diagnosing acute appendicitis, but also in evaluating a number of conditions that mimic appendicitis clinically, eg. cecal diverticulitis, sigmoid diverticulitis, torsion of Meckel’s diverticulum, primary epiploic appendagitis, infectious colitis, gynecologic disorders, right lower lobe pneumonia, crohn’s disease, and acute cholecystitis.
MSCT also is useful in diagnosing complications of acute appendicitis e.g. appendiceal perforation, phlegmon or an abscess formation, hepatic abscess, and Pyelophlebitis.
MSCT can be used in appendiceal complications to guide abscess drainage. Preference to use CT because of the more precise definition of the access route to the collection.
Patients may present with a wide variety of clinical manifestation, and the diagnosis may elude even the most experienced clinicians. The clinical diagnosis is based primarily on the patient history, physical examinations and white blood cell count.
While the clinical diagnosis may be straight forward in patients who present with classic signs and symptoms, atypical presentations may result in diagnostic confusion and delay in treatment. MSCT is a highly accurate means of establishing the diagnosis.
Surrounding inflammatory changes, presence of an appendicolith and cecal apical changes are helpful signs in diagnosing acute appendicitis.
MSCT is useful in diagnosing acute appendicitis, but also in evaluating a number of conditions that mimic appendicitis clinically, eg. cecal diverticulitis, sigmoid diverticulitis, torsion of Meckel’s diverticulum, primary epiploic appendagitis, infectious colitis, gynecologic disorders, right lower lobe pneumonia, crohn’s disease, and acute cholecystitis.
MSCT also is useful in diagnosing complications of acute appendicitis e.g. appendiceal perforation, phlegmon or an abscess formation, hepatic abscess, and Pyelophlebitis.
MSCT can be used in appendiceal complications to guide abscess drainage. Preference to use CT because of the more precise definition of the access route to the collection.
Other data
| Title | Role of Multislice Computed Tomography in Diagnosis of Acute Appendicitis | Other Titles | دور الأشعة المقطعية متعددة المقاطع في تشخيص حالات الالتهاب الحاد بالزائدة الدودية | Authors | Mohamed Mahmoud Samy | Issue Date | 2015 |
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