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Appendiceal perforation is one of the complications of acute appendicitis. Luminal distension can cause ischemia, necrosis (gangrene), bacterial invasion and perforation of the appendiceal wall. In the context of appendicitis, intraluminal and intramural gas are associated with gangrene 2. Although delayed presentation and treatment may be ...
4 dni temu · 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. Epidemiology.
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.
Agolah D, Subphrenic perforated acute appendicitis. Case study, Radiopaedia.org (Accessed on 23 Jun 2024) https://doi.org/10.53347/rID-166808
If appendicitis is allowed to progress, portions of the appendiceal wall eventually become ischemic or necrotic [1, 59] and the appendix perforates. On CT, perforation is suggested by the presence of localized periappendiceal inflammation, although this is a nonspecific finding.
Walizai T, Perforated appendix. Case study, Radiopaedia.org (Accessed on 26 Jun 2024) https://doi.org/10.53347/rID-183440
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.
