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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.
Gender: Male. ultrasound. Non-compressible, dilated appendix containing appendicolith. Thickened wall with blurred appearance resulting in loss of normal stratification. Echogenic, non-compressible pericaecal and periappendiceal fat. Hypoechogenic periappendiceal fluid collection. Case Discussion.
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.
1 wrz 2020 · Perforation: Paradoxically, at a more advanced stage appendiceal dilatation can cause thinning of the appendiceal wall associated with possibly transmural ulcers and focal or diffuse necrosis, leading to porosity. The presence of air outside the appendix is a classical finding of perforated appendicitis.
5 lip 2020 · Children often present with free perforated appendicitis, because the disease progresses more rapidly and abscess formation is less effective than in adults. Children with an appendiceal abscess usually undergo surgery.
Helical computed tomography (CT) and graded compression color Doppler ultrasonography (US) are highly accurate means of establishing the diagnosis. These imaging modalities have now assumed critical roles in the treatment of patients suspected to have appendicitis.
For continuous variables, a comparison of means between the perforated and nonperforated groups was performed by using the Wilcoxon rank sum test. For categorical variables, the sensitivity and specificity of each CT finding for the diagnosis of perforated appendicitis were determined.
