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21 paź 2024 · A perforated appendix is one of the complications of acute appendicitis. When appendicitis is left untreated, necrosis (gangrene) of the appendiceal wall can occur and progress to a focal rupture.
Presentation. Right lower quadrant pain. ct. Right lower quadrant peritoneal/serosal thickening and enhancement, particularly the cecal base. Enlarged and irregular appendix, with a small appendicolith near the tip. Tiny dot of extraluminal air along the inferior appendix. Annotated image.
28 wrz 2024 · Acute appendicitis is an acute inflammation of the vermiform appendix. It is a very common condition in general radiology practice and is one of the main reasons for abdominal surgery in young patients. CT is the most sensitive modality to detect appendicitis.
Agolah D, Subphrenic perforated acute appendicitis. Case study, Radiopaedia.org (Accessed on 23 Jun 2024) https://doi.org/10.53347/rID-166808
Walizai T, Perforated appendix. Case study, Radiopaedia.org (Accessed on 26 Jun 2024) https://doi.org/10.53347/rID-183440
A statistically significant association was found between three sonographic findings and perforation: loculated pericecal fluid, prominent pericecal fat, and circumferential loss of the submucosal layer of the appendix. No single finding had a specificity greater than 59%.
10 sty 2016 · Abscess and extraluminal air are the most specific findings for perforated appendicitis, but have low sensitivity. Periappendiceal inflammatory stranding and focal defect in the enhancing appendiceal wall are more sensitive, but less specific.
