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Difficulties in the diagnosis of appendicitis: review of CT and US images
Authors:Nobuyuki Kosaka  Tadashi Sagoh  Hidemasa Uematsu  Hirohiko Kimura  Sanae Yamamori  Shiro Miyayama  Harumi Itoh
Affiliation:(1) Department of Radiology, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan;(2) Department of Radiology, Fukui Red Cross Hospital, 2-4-1 Tsukimi, Fukui, Fukui 918-8501, Japan;(3) Department of Radiology, Yawata Medical Center, 12-7 Yawata, Komatsu, Ishikawa 923-8551, Japan;(4) Department of Diagnostic Radiology, Fukuiken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui, Fukui 918-8503, Japan
Abstract:
To determine the reasons for missing a distended appendix, we discuss cases of acute appendicitis in which either or both computed tomography (CT) and/or ultrasonography (US) initially failed to detect distended appendix. In some cases, distended appendices that were undetected on US were easily detected by CT, and vice versa. Failure to detect a distended appendix does not always eliminate the possibility of acute appendicitis.
Keywords:Appendicitis  Computed tomography (CT)  Ultrasonography (US)
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