Learning objectives
1.
Describe the frequency of presentation of the different stages of acute appendiceal disease.
2.
Identify the key characteristics of CT images for the diagnosis of the different stages of acute appendicitis and their surgical and anatomopathological correlation.
Background
Acute appendicitis is the most common cause of acute surgical abdomen.
It can affect all age groups,
with a predilection for the population between 10 - 30 years old,
and with greater risk for the male gender [1,2].
Anatomically,
the cecalappendix is a blind intestinal loop measuring between 3-20 cm in length and less than 6 mm in transverse diameter.
It usually originates in the posteromedial wall of the cecum,
2-3 cm inferior to the ileocecal valve [1].
Its position has been described as retrocecal,...
Findings and procedure details
Materials and methods
A descriptive cross-sectional study was carried out,
designed by the department of radiology of the Sanatorio Finochietto.
The population was defined as all patients with a clinical diagnosis of appendicitis who had CT of the abdomen and pelvis as an imaging study,
and were taken to the operating room for treatment with subsequent anatomopathological (AP) evaluation from January 2016 to April 2017 (n = 37),
excluding 3 patients for not having an AP report (n = 34).
All the data were written...
Conclusion
The tomography is the gold standard in the diagnosis of appendiceal disease.
It allows to identify the position of the appendix and the results of this study suggests it can also help defining the severity of the disease by establishing the different grades in a non-invasive way,
providing valuable data to surgeons for a better therapeutic approach that can be traduced in a shorter time of action and even in lower rate of complications.
References
Arévalo O,.
Moreno M.
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Apendicitis aguda: Hallazgos radiológicos y enfoque actual de las imágenes diagnósticas.
Acute appendicitis: Imaging Findings and current approach to diagnostic imaging.
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2014; 25(1): 3877-88
Iacobellis F.,
Iadevito I.,
et al col.
Perforated Appendicitis:AssessmentWith Multidetector ComputedTomography .
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Govindarajan A.,
Dev B.,
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Computed Tomography Diagnosis of Acute Appendicitis—Pictorial Essay.
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Verdugo R.
and Olave E.
Características anatómicas y biométricas...