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Imaging of acute appendicitis and its complicationS PowerPoint Presentation

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Slide 1 - Imaging of acute appendicitis and it’s complications
Slide 2 - Imaging modalities Plain films US CT
Slide 3 - Plain films Calcified appendicolith Focal ileus
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Slide 5 - US diagnosis of appendicitis Compression US technique. An appendix diameter of > 6 mm Wall thickness of > 3 mm Dilated non-compressible fluid filled lumen
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Slide 7 - CT Technique: CT abd/pelvis without any contrast Oral contrast IV contrast Rectal contrast
Slide 8 - CT Findings in Acute Appendicitis Normal appendix Appendicolith (Presence of appendicolith and abdominal pain has a sensitivity of 90% for acute appendicitis) Enlarged appendix, 7-10 mm (Previously 6 mm) Peri-appendicular inflammation-linear streaky densities in peri-appendicular fat Abscess
Slide 9 - Excess abdominal fat is a good thing!!
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Slide 12 - Mildly dilated appendix with fluid filled lumen
Slide 13 - Enlarged and inflamed appendix with wall thickening and peri-appendiceal inflammation
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Slide 16 - Appendicitis and pelvic abscess.
Slide 17 - Per-cutaneous drainage of appendiceal abscess