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Category: Volume 06 Issue 03 March 2018
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Title: Diagnostic Outcome of Unenhanced Focused Computed Tomography in Acute Appendicitis

Authors: S. Ratna Vasanthan, Prabhakaran Velayutham, M.P. Saanida

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.117

Abstract

Background: Acute appendicitis is one of the emergency surgeries. Confirming the diagnosis of acute appendicitis is challenging in those who present with atypical clinical features and non-specific physical findings. The newer techniques of ultrasonography (USG) and computed tomography (CT) are the promising diagnostics for evaluating patients with suspected acute appendicitis. We conducted a study to evaluate diagnostic performances of unenhanced focused CT in patients suspected of having acute appendicitis without a selection between typical and atypical clinical signs of acute appendicitis.

Patients and Methods: We enrolled (n=61) patients in a prospective observational study between 2008 and 2010 at the Department of Radio Diagnosis, Medical College, Thiruvananthapuram. Computed tomography (CT) examination was performed with four slice helical CT scanner (Asteion Toshiba) by means of a rapid thin-scanning technique.

Results: Out of 61 patients, 28 (45.9%) had acute appendicitis and 33 (54.1%) did not have appendicitis. CT diagnosed all 28 cases of appendicitis and 32 cases without appendicitis correctly. There was one false positive case.

Conclusion: Thus the present study, underscores that the unenhanced focused CT is accurate imaging modality in patients with suspected appendicitis.

Keywords: Acute appendicitis, computed tomography, radiology.

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Corresponding Author

Dr Prabhakaran Velayutham

Assistant Professor, Department of Radiology,

Mahatma Gandhi medical college & Research institute,

Pondicherry, India. 607402

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