Acute Appendicitis: A radio�diagnostic perspective� Ultrasonography (USG) and Computed Tomography (CT)

Dr Sandhya Kothari; Dr Nupur Kothari; Dr Nilesh Agrawal

Volume : VI, Issue : VI, June - 2016

Acute Appendicitis: A radio�diagnostic perspective� Ultrasonography (USG) and Computed Tomography (CT)

Dr Sandhya Kothari, Dr Nupur Kothari, Dr Nilesh Agrawal

Abstract :

 Background: Accurate diagnosis of acute appendicitis is important, since the condition is a surgical emergency. Imaging may synergise clinical symptoms/signs & lab tests for the same. Objective: To assess the accuracy of USG & CT in patients with clinical diagnosis of acute appendicitis. Methodology: Clinically diagnosed acute appendicitis patients were evaluated with USG & CT and the findings were compared with perioperative & histopathological diagnosis. Observations: Out of 100 clinically suspect acute appendicitis patients who underwent both USG and CT, 25 patients revealed disease other than appendicitis. In the other 75, diagnosis of acute appendicitis– in 72 cases on USG and in 74 cases on CT was made preoperatively. Surgery was done in all 75 cases. All 75 showed on operating table features of acute appendicitis. Histopathology confirmed appendicitis of all 75 removed appendices. Conclusion: USG & CT both add value to diagnosis of acute appendicitis. USG has accuracy almost similar to that of CT in expert hands with newer sophisticated USG machines resulting in no radiation. If clear–cut diagnosis of acute appendicitis is made on initial USG then CT is not necessary.