Document Detail


Appendiceal diverticulitis: diagnosis and differentiation from usual acute appendicitis using computed tomography.
MedLine Citation:
PMID:  17895789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe the computed tomographic findings of appendiceal diverticulitis. METHODS: Computed tomography (n = 20) and clinical findings in 23 patients with appendiceal diverticulitis were retrospectively reviewed and compared with those in 23 patients with usual acute appendicitis. RESULTS: Computed tomography visualized the inflamed diverticula (up to 4 per patient) mostly as small (median, 7.5 mm) round cystic outpouchings at the distal appendix with contrast enhancement at the cyst wall in 16 (80%) patients with appendiceal diverticulitis. In 50% of appendiceal diverticulitis patients, computed tomographic diagnosis of accompanying appendicitis was false positive. Appendicolith was rarely observed in the appendiceal diverticulitis group (5% vs 48%, P = 0.002). No significant difference was observed in the clinical findings except for the patient age (median, 45 vs 31 years; P = 0.001). CONCLUSIONS: Most appendiceal diverticulitis can be differentiated from usual acute appendicitis at computed tomography by visualization of the inflamed diverticulum.
Authors:
Kyoung Ho Lee; Hye Seung Lee; Seong Ho Park; Vasundhara Bajpai; Yoo Shin Choi; Sung-Bum Kang; Kil Joong Kim; Young Hoon Kim
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  31     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-09-26     Completed Date:  2007-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  763-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aged
Appendicitis / radiography*
Appendix / pathology,  radiography*
Child
Contrast Media
Diagnosis, Differential
Diverticulitis / radiography*
Female
Humans
Iohexol / analogs & derivatives,  diagnostic use
Male
Middle Aged
Random Allocation
Retrospective Studies
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 66108-95-0/Iohexol; 73334-07-3/iopromide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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