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25 paź 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.
Gangrenous appendicitis is the result of intramural and arterial thromboses. CT findings include pneumatosis, shaggy appendiceal wall, and patchy areas of mural nonperfusion.
Radiopaedia.org
22 lis 2021 · Gangrenous appendicitis is estimated to occur in 17% of cases of acute appendicitis and is associated with increased rates of complications such as intra-abdominal abscesses and appendiceal perforation if surgical management is delayed.
Major complications of appendicitis (perforation, abscess formation, peritonitis, bowel obstruction, septic seeding of mesenteric vessels, gangrenous appendicitis) and their management are discussed.
10 lis 2005 · Today, with MSCT, we can reliably confirm the diagnosis of gangrenous appendicitis by demostrating the association of gas in the lumen with the other caratteristic findings of appendicitis such as pericecal inflammation, abscess or phlegmon, calcified appendicolith and thickened appendiceal wall.
In cases of suspected appendicitis, dual-energy CT that includes vir- tual monoenergetic and iodine overlay imaging is accurate for confirming and excluding the presence of gangrenous appendicitis with high sensitivity and specificity.
