Comprehensive review of typical and atypical pathology of the appendix on CT: cases with clinical implications

Rehan Quadri, Vasantha Vasan, Caitlin Hester, Matthew Porembka, Julia Fielding

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Acute appendicitis is the most common abdominal surgical emergency in the United States with approximately 250,000 cases annually. Computed Tomography (CT) has emerged as the most accurate diagnostic test to triage these patients for emergent surgery. Although the radiology search pattern is prioritized to detect an inflamed appendix, not all appearances equate to a typical surgical appendicitis. There are a select set of atypical pathologies involving the appendix that have subtle differences on CT, but can have catastrophic complications if treated with emergent appendectomy. This paper will review the spectrum of CT appearances and clinical management for typical and atypical appendiceal pathologies.

Original languageEnglish (US)
Pages (from-to)65-77
Number of pages13
JournalClinical Imaging
Volume53
DOIs
StatePublished - Jan 1 2019

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Keywords

  • Appendectomy
  • Appendicitis
  • Atypical
  • CT
  • Management

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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