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Sovtsov S.A.

South Ural State Medical University Ministry of Health of the Russian Federation, Chelyabinsk, Russia

Revel-muroz Zh.A.

South Ural State Medical University, Ministry of Health of the Russian Federation ,Regional Clinical Hospital № 3, Chelyabinsk, Russia

Shkarednykh V.Yu.

Regional Clinical Hospital #3, Department of Radiation Diagnostics, Chelyabinsk, Russia

The use of computed tomography in the diagnosis of acute appendicitis

Authors:

Sovtsov S.A., Revel-muroz Zh.A., Shkarednykh V.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(4): 41‑45

DOI: 10.17116/hirurgia2017441-45

Views: 12825

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To cite this article:

Sovtsov SA, Revel-muroz ZhA, Shkarednykh VYu. The use of computed tomography in the diagnosis of acute appendicitis. Pirogov Russian Journal of Surgery. 2017;(4):41‑45. (In Russ.)
https://doi.org/10.17116/hirurgia2017441-45

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Aim. To present the use of computed tomography in the diagnosis of acute appendicitis. Material and methods. The study was conducted in 139 patients who were hospitalized with suspected acute appendicitis. However, the diagnosis was not clearly confirmed by clinical and ultrasonic data. Results. Computed tomography confirmed/rejected presumptive diagnosis in 90.8% of patients. It was concluded that CT has high diagnostic accuracy to confirm acute appendicitis.

Keywords:

computed tomography
acute appendicitis
diagnostic accuracy

Authors:

Sovtsov S.A.

South Ural State Medical University Ministry of Health of the Russian Federation, Chelyabinsk, Russia

Revel-muroz Zh.A.

South Ural State Medical University, Ministry of Health of the Russian Federation ,Regional Clinical Hospital № 3, Chelyabinsk, Russia

Shkarednykh V.Yu.

Regional Clinical Hospital #3, Department of Radiation Diagnostics, Chelyabinsk, Russia

List of references:

  1. Grinberg AA, Mihajlusov SV, Tronin RRu, Drozdov GE. Diagnostika's Ouzels of difficult cases of an acute appendicitis. М.: Triada-Х; 1998. (In Russ.).
  2. Kolganova IP, Karmazanovsky GG. Computer tomography and radiodiagnosis of diseases of an abdominal cavity. Clinico-radiological problems and answers for self-checkingю М.: the Publishing house of Vidar-M; 2014. (In Russ.).
  3. Karmazanovsky GG. Estimation of the Diagnostic Method Value («Sensitivity» «Specificity» and «General Accuracy»ю Annaly khirurgicheskoy gepatologii. 1997;2:139-142. (In Russ.).
  4. Kriger AG, Fedorov AV, Voskresensky PК I dr. The Acute appendicitis. М: Medpraktika-M; 2002. (In Russ.).
  5. Holmatov RM, Jangiev BA, Mahammadiev DD. Features of diagnostics of an acute appendicitis at women. The first help. 2004;5;(3):58-59. (In Russ.).
  6. Al-Khayal KA, Al-Omran MA. Computed tomography and ultrasonography in the diagnosis of equivocal acute appendicitis. A meta-analysis. Saudi Med J. 2007;28(2):173-180.
  7. Antevil JL, Rivera L, Landerberg BJ et ll. Computer tomography to a basis kliniko-diagnostic ways concerning a acute appendicitis: perspective checks. J Am Coll Surg. 2006;203(6):849-856.
  8. Pickhardt PJ, Lawrence ML, Pooler BD, Bruce RJ. Diagnostic Performance of Multidetector Computed Tomography for Suspected Acute Appendicitis. Ann Intern Med. 2011;154(12):789-796. doi:10.7326/0003-4819-154-12-201106210-00006
  9. Nitta N, Takahashi M, Furukawa A. et al. MR imaging of the normal appendix and acute appendicitis. J Magn Reson Imaging. 2005;21:156-165.
  10. Raja AS, Wright C, Sodickson AD, Zane RD, Gordon D, Schiff GD et al. Negative Appendectomy Rate in the Era of CT: An 18-year Perspective. Radiology. 2010;256:2:460-465. doi:10.1148/radiol.10091570
  11. Rogers W, Hoffman J, Noori N. Harms of CT Scanning Prior to Surgery for Suspected Appendicitis. Evid Based Med. 2015;20(1):3-4. doi:10.1136/ebmed-2014-110075
  12. Toorenvliet BR, Wiersma F, Bakker RF et al. Routine ultrasound and limited computed tomography for the diagnosis of acute appendicitis. World J Surg. 2010;34:2278-2285. doi:10.1007/s00268-010-0694-y

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