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Imaging of acute appendicitis and its complicationS PowerPoint Presentation

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Published on : Jan 08, 2015
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Imaging of acute appendicitis and it’s complications

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Imaging modalities Plain films US CT

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Plain films Calcified appendicolith Focal ileus

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US diagnosis of appendicitis Compression US technique. An appendix diameter of > 6 mm Wall thickness of > 3 mm Dilated non-compressible fluid filled lumen

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CT Technique: CT abd/pelvis without any contrast Oral contrast IV contrast Rectal contrast

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CT Findings in Acute Appendicitis Normal appendix Appendicolith (Presence of appendicolith and abdominal pain has a sensitivity of 90% for acute appendicitis) Enlarged appendix, 7-10 mm (Previously 6 mm) Peri-appendicular inflammation-linear streaky densities in peri-appendicular fat Abscess

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Excess abdominal fat is a good thing!!

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Mildly dilated appendix with fluid filled lumen

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Enlarged and inflamed appendix with wall thickening and peri-appendiceal inflammation

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Appendicitis and pelvic abscess.

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Per-cutaneous drainage of appendiceal abscess

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