Computed Tomography Diagnosis of Acute Appendicitis—Pictorial Essay英文文献资料.docVIP

Surgical Science, 2011, 2, 109-116 109 doi:10.4236/ss.2011.23022 Published Online May 2011 (/journal/ss) Computed Tomography Diagnosis of Acute Appendicitis—Pictorial Essay Aarthi Govindarajan, Bhawna Dev, Roy Santosham, Santhosh Joseph Department of Radiology and Imaging Sciences, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Chennai, India E-mail: aarthi_govind@ Received October 11, 2010; revised December 25, 2011; accepted April 11, 2011 Abstract Acute appendicitis is a common surgical emergency with varied clinical presentations. Early diagnosis is absolutely necessary to minimize morbidity whereas delayed or missed diagnosis can cause adverse conse- quences. Computed tomography is a highly accurate imaging technique for diagnosing appendicitis. Hence it plays a valuable role in selected patients with suspected appendicitis; [1]. In this essay, we review the normal Computed tomography anatomy of the appendix and the right lower quadrant and illustrate the Computed tomography signs of appendicitis and important differential diagnostic entities. The Computed tomography appearance of complications of acute appendicitis is also presented, as are issues concerning clinical presen- tation and duration of the symptoms. Computed tomography signs can be varied and overlooked as they say what is easy to see is also easy to miss. Keywords: Acute Appendicitis, Multislice Computed Tomography 1. Introduction has a triangular mesentery, the meso appendix. Appen- dix is supplied by appendicular artery, a branch of ileo- colic artery and venous drainage is through ileocolic vein into the superior mesenteric vein. Acute appendicitis is the commonest cause of acute ab- domen pain which needs surgical intervention. Atypical symptoms, varied presentations and multiple differen- tials of abdomen pain make accurate diagnosis of appen- dicitis difficult clinically. 3. Cases with Detailed Description Non enhanced