CT EVALUATION OF ACUTE APPENDICITIS
Abstract:
Acute appendicitis is the most common cause of an acute surgical abdomen. In the absence of
surgical intervention, it can lead to perforation resulting in peritonitis. In patients with atypical clinical
symptoms, further investigations with imaging techniques are needed to avoid delay of surgical
procedure. The purpose of this paper is to describe CT aspects in 12 cases of acute appendicitis. We
observed parietal thickening, infiltration of adjacent fat, hypodense nodular area with focal hyperdense
central area. In all patients we found infiltration of periappendicular fat, a nodular mass with
predominantly fatty densities. In 83% of the patients, we identified a punctiform or linear hyperdense
central area. Conclusions. CT may be the first imaging means of diagnosing acute appendicitis.
Recognizing the CT aspects in acute appendicitis is important for the medical management of the
disease, as it can simulate a surgical abdomen
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