Publication:
Sufficiency of Nonenhanced Computed Tomography for the Diagnosis of Acute Appendicitis: A case Report

Date

2024

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Publisher

Nepal Paediatric Society (JNPS)

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Abstract

Abstract: Acute appendicitis is an emergency disease that exhibits its highest incidence in adolescents. While contrast-enhanced computed tomography (CT) is frequently utilized for rapid diagnosis of acute appendicitis, the ability of nonenhanced CT is not well established. Herein we report two cases of adolescents who were successfully diagnosed with acute appendicitis by nonenhanced CT. Ultrasonography was unable to detect the appendix in both cases. Regarding imaging strategy, nonenhanced CT can be sufficient for detection of acute appendicitis, and ultrasonography is not always required. Immediate examination by nonenhanced CT before ultrasonography can be sufficient for rapid diagnosis of acute appendicitis.

Description

Taniguchi Kazuto Tara Town Hospital, Saga 849-1602, Japan. Ichiro Imamura Josuikai Imamura Hospital, Saga 841-0061, Japan.

Keywords

Acute appendicitis, Adolescents, Imaging strategy, Nonenhanced CT, Ultrasonography

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