Is acute appendicitis complicated or uncomplicated? Approaching the question via computed tomography

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dc.authoridÜnlü, Serkan/0000-0001-7535-0812
dc.authoridAkçiçek, Mehmet/0000-0002-0232-1284
dc.authorwosidÜnlü, Serkan/AAD-2212-2022
dc.authorwosidAkçiçek, Mehmet/GLN-7854-2022
dc.contributor.authorAkcicek, Mehmet
dc.contributor.authorIlgar, Mehtap
dc.contributor.authorUnlu, Serkan
dc.date.accessioned2024-08-04T20:59:46Z
dc.date.available2024-08-04T20:59:46Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground The distinction between complicated and uncomplicated appendicitis is very important for the selection of the treatment method. Purpose To investigate the sensitivity and specificity of computed tomography (CT) in differentiating between complicated and uncomplicated appendicitis to demonstrate that false negativity in differentiating these cases can be reduced when CT findings are incorporated into the clinical evaluation of patients. Material and Methods All patients aged >= 18 years who underwent appendectomy at Malatya Training and Research Hospital in 2020 and 2021 were retrospectively screened. Of them, 283 patients were included in the study who had undergone CT before the operation. Patients with appendicitis were divided into two groups: complicated and uncomplicated, according to the results of their pathology tests. Demographic data, laboratory results, and CT images of the patients were evaluated. Results The patients with complicated appendicitis had a significantly higher mean age (P<0.001). The most common CT findings in patients with complicated appendicitis were moderate or severe peri-appendiceal fat stranding (PFS) and appendix wall enhancement defect (AWD). The findings with the highest sensitivity were PFS (77.9%) and AWD (69.4%). Although abscess, phlegmon, and peri-appendiceal air had the highest specificity (100%), these findings were the ones with the lowest sensitivity. According to the scoring system was developed for the differential diagnosis, CT had a sensitivity of 83.3% and a specificity of 79.2%. Conclusion Based on the sensitivity and specificity values measured for CT according to the findings of our study, the scoring system may be useful for the differential diagnosis of complicated appendicitis.en_US
dc.identifier.doi10.1177/02841851221141221
dc.identifier.endpage1764en_US
dc.identifier.issn0284-1851
dc.identifier.issn1600-0455
dc.identifier.issue5en_US
dc.identifier.pmid36451525en_US
dc.identifier.startpage1755en_US
dc.identifier.urihttps://doi.org/10.1177/02841851221141221
dc.identifier.urihttps://hdl.handle.net/11616/103507
dc.identifier.volume64en_US
dc.identifier.wosWOS:000912166800001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Ltden_US
dc.relation.ispartofActa Radiologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAppendicitisen_US
dc.subjectappendixen_US
dc.subjectcomputed tomographyen_US
dc.titleIs acute appendicitis complicated or uncomplicated? Approaching the question via computed tomographyen_US
dc.typeArticleen_US

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