CT scan for suspected acute appendicitis

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CT scan for suspected acute appendicitis

A ppendicitis is common with a 7% lifetime risk for an individual in the United States. Mean age at diagnosis is 22 years old. While frequently clinically obvious, by 2006, more than 90% of patients diagnosed with appendicitis had a CT scan of the abdomen and pelvis performed. Use of CT scans has allowed a decrease in false-negative rate at appendectomy to under 10% from a rate of approximately...

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Role of CT scan in diagnosis of acute appendicitis

Objective: To evaluate the diagnostic accuracy of the spiral-CT in patients with clinically suspected acute appendicitis. Material and Methods: A total of 124 patients referred for CT scan with suspected appendicitis between January 2005 and October 2006 were assessed for the appendiceal size and the presence of signs of appendicitis. The findings were correlated with surgical histopathology. R...

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Harms of CT scanning prior to surgery for suspected appendicitis.

In this brief analysis we compare the risks and benefits of performing a CT scan to confirm appendicitis prior to surgery instead of operating based on the surgeon's clinical diagnosis. We conclude that the benefit of universal imaging is to avoid 12 unnecessary appendectomies but the cost of those 12 avoided surgeries is one cancer death due to the imaging.

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Is Unenhanced Abdominal CT Scan Necessary for the Diagnosis of Acute Appendicitis in Children?

Purpose: This study was designed to evaluate the question of whether a computed tomography (CT) protocol without an unenhanced phase could be used for diagnosis of appendicitis in pediatric patients who visited the emergency department (ED) with acute non-traumatic right lower abdominal pain. Methods: We retrospectively selected 100 samples from pediatric abdominal CT scans performed in the ED ...

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Abdominal CT Does Not Improve Outcome for Children with Suspected Acute Appendicitis

INTRODUCTION Acute appendicitis in children is a clinical diagnosis, which often requires preoperative confirmation with either ultrasound (US) or computed tomography (CT) studies. CTs expose children to radiation, which may increase the lifetime risk of developing malignancy. US in the pediatric population with appropriate clinical follow up and serial exam may be an effective diagnostic modal...

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ژورنال

عنوان ژورنال: Journal of Community Hospital Internal Medicine Perspectives

سال: 2012

ISSN: 2000-9666

DOI: 10.3402/jchimp.v1i4.10926