Usefulness of Computed Tomography in Diagnosis of Acute Appendicitis

Abstract

The usefulness of computed tomography (CT) in the diagnosis of acute appendicitis was studied. CT was performed in 32 patients who were suspected to have acute appendicitis. Direct findings (abnormal appendix) were seen in 24 patients and suggestive findings were seen in 16 patients. Acute appendicitis was diagnosed in 25 patients with the help of CT findings, and the other seven patients was not found in acute appendicitis by CT. The diagnosis of appendicitis was made histopathologically in 21 cases. The benefits of CT in the diagnosis of acute appendicitis were (1) high correct diagnosis rate, (2) avoidance of unnecessary appendectomy, (3) demonstration of abscess and perforated appendicitis, (4) demonstration of retrocecal appendix, and (5) selection of anesthesia method. The demerits were (1) radiating of X-rays and (2) expensive cost. If was concluded that CT is a useful aid in the diagnosis of acute appendicitis.