Acute appendicitis

Case contributed by Bruno Di Muzio , 20 Feb 2011
Diagnosis certain
Changed by Bruno Di Muzio, 20 Mar 2018

Updates to Case Attributes

Presentation was changed:
64 years old male with non descriptive-descriptive visceral pain in the periumbilical region, followed by nausea. Previous radiography study don`t helpwas unremarkable.Previous US study showsshowed signs of inflamed mesenteric fat onin the rightlower quadrant.
Body was changed:

The prevalence of appendicitis in patients who present with abdominal pain to the emergency department is approximately 14%.

Traditionally, acute appendicitis has been diagnosed on the basis ofby clinical findings findings.

CT is highly sensitive (94 - 98%) and specific (up to 97%) for the diagnosis of acute appendicitis, and allows for alternative causes of abdominal pain also to also be diagnosed. In this case, a simple non-contrast study, as institution protocol, was enough to determine the diagnosis.

  • -<p>The prevalence of <a href="/articles/appendicitis">appendicitis</a> in patients who present with abdominal pain to the emergency department is approximately 14%.</p><p>Traditionally, acute appendicitis has been diagnosed on the basis of clinical findings.</p><p>CT is highly sensitive (94 - 98%) and specific (up to 97%) for the diagnosis of acute appendicitis, and allows for alternative causes of abdominal pain to also be diagnosed. In this case, a simple non-contrast study, as institution protocol, was enough to determine the diagnosis.</p>
  • +<p>The prevalence of <a href="/articles/appendicitis">appendicitis</a> in patients who present with abdominal pain to the emergency department is approximately 14%.</p><p>Traditionally, acute appendicitis has been diagnosed by clinical findings.</p><p>CT is highly sensitive (94 - 98%) and specific (up to 97%) for the diagnosis of acute appendicitis, and allows for alternative causes of abdominal pain also to be diagnosed. In this case, a non-contrast study, as institution protocol, was enough to determine the diagnosis.</p>
Diagnostic Certainty was set to .

Updates to Study Attributes

Caption was added:
CT Abdomen and pelvis
Findings was changed:

Right lower quadrant: dilated appendix with a small appendicolith inside;and surrounding inflammatory phlegmon as wellstanding.

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