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Ultrasonography and computed tomography in patients with right lower quadrant pain: Difficult cases of appendicitis

Authors van Randen A, Lameris W, Boermeester MA, Puylaert, Stoker J

Published 22 April 2009 Volume 2009:2 Pages 41—47


Review by Single anonymous peer review

Peer reviewer comments 7

Adrienne van Randen1,2, Wytze Laméris1,2, Marja A Boermeester2, Julien BCM Puylaert3, Jaap Stoker1

1Department of Radiology; 2Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; 3Department of Radiology, Westeinde Hospital, The Hague, The Netherlands

Abstract: Acute appendicitis is a common cause of acute abdomen and both computed tomography (CT) and ultrasonography (US) are used in the diagnostic work-up of these patients. In general, imaging has high accuracy in diagnosing acute appendicitis. Although the imaging features of appendicitis are well known, in some patients findings are less conclusive. This pictorial essay will give an overview of difficult US and CT cases of patients suspected of acute appendicitis.

Keywords: acute appendicitis, ultrasonography, CT

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