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  • Acute Appendicitis: Imaging Findings and Current Approach To Diagnostic Images

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    Inayatul Maula
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    Acute appendicitis is the most common cause of acute abdominal pain requiring surgery. Imaging techniques like CT, MRI, and ultrasound have significantly reduced negative appendectomy rates by aiding in diagnosis. The appendix normally measures 3-20 cm long with a transverse diameter under 6 mm, originating from the cecum. Acute appendicitis is diagnosed on imaging by findings like an appendix diameter over 6 mm, lack of compressibility, periappendiceal fat changes, and increased vascularity. CT is useful for detecting complications like perforation. Ultrasound can also diagnose acute appendicitis based on imaging findings and rule out other causes of pain. Imaging plays an important role in the diagnosis and management of suspected acute

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    Acute appendicitis is the most common cause of acute abdominal pain requiring surgery. Imaging techniques like CT, MRI, and ultrasound have significantly reduced negative appendectomy rates by aiding in diagnosis. The appendix normally measures 3-20 cm long with a transverse diameter under 6 mm, originating from the cecum. Acute appendicitis is diagnosed on imaging by findings like an appendix diameter over 6 mm, lack of compressibility, periappendiceal fat changes, and increased vascularity. CT is useful for detecting complications like perforation. Ultrasound can also diagnose acute appendicitis based on imaging findings and rule out other causes of pain. Imaging plays an important role in the diagnosis and management of suspected acute

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    8 views10 pages

    Acute Appendicitis: Imaging Findings and Current Approach To Diagnostic Images

    Uploaded by

    Inayatul Maula
    Acute appendicitis is the most common cause of acute abdominal pain requiring surgery. Imaging techniques like CT, MRI, and ultrasound have significantly reduced negative appendectomy rates by aiding in diagnosis. The appendix normally measures 3-20 cm long with a transverse diameter under 6 mm, originating from the cecum. Acute appendicitis is diagnosed on imaging by findings like an appendix diameter over 6 mm, lack of compressibility, periappendiceal fat changes, and increased vascularity. CT is useful for detecting complications like perforation. Ultrasound can also diagnose acute appendicitis based on imaging findings and rule out other causes of pain. Imaging plays an important role in the diagnosis and management of suspected acute

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 10

    Acute appendicitis: imaging

    findings and current


    approach to diagnostic
    images
    • Acute appendicitis is the most common cause
    of acute abdominal pain which requires
    surgery.
    • the negative appendectomy rates decreased
    significantly after the introduction of sectional
    images such as Computed Tomography (CT),
    Magnetic Resonance Imaging (MRI) and
    Ultrasonography (U.S.)
    Anatomy
    • Measures between 3-20 cm and has a
    transverse diameter of less than 6 mm.
    • It originates in the posteromedial wall of the
    cecum, 2-3 cm inferior to the ileocecal valve
    • Variasi anatomy appendix
    • Obstruksi  akumulasi cairan di lumen
    appendix  proliferasi bakteri  inflamasi
    dinding dan jaringan sekitar  ↑ tek
    endolumen  iskemia gangren -- perforasi
    Gejala Klinis
    • Typical (alvarado scale) & atipycal
    Imaging diagnostic
    Foto Polos Abdomen
    • non-specific in 68% of cases, and a sensitivity
    0%
    • the main usefulness  rule out perforation
    and intestinal obstruction
    USG
    • Normal :
    – Struktur tubuler dan memanjang
    – Potongan transversal : diameter < 6mm
    – Kompresi : bentuk oval
    – Sifat : compresible, mobile, tanpa disertai
    perubahan ekogenitas jaringan sekitar
    Appendicitis akut
    • Diameter cross-sec >6mm (98%)
    • Non compresibel appendix
    • Perubahan ekogenitas lemak periappendicular
    • Peningkatan vaskularisasi (87%)
    • Appendicolith (30%)  ↑ perforasi
    • Tanda perforasi :
    – Fluid collection di periappendicular
    – Dinding irreguler
    – Appendicolith ekstralumen
    CT Scan
    • CT Abdomen : potongan dibuat dari cupola
    diafragma s/d simfisis pubis

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