Radiological-pathological Discordance in a Patient With Appendicitis Findings on Computed Tomography

Year 2014, , 186 - 187, 01.05.2014

Leman Günbey Karabekmez Gökhan Karaca Selma Çukur Rula Şahin Sıddıka Halıcıoğlu

https://doi.org/10.5505/abantmedj.2014.35229

Abstract

Computed tomography CT is a commonly used imaging modality with a high sensitivity and specificity in the diagnosis of acute appendicitis. Despite inflammatory changes of appendix seconder to bile leakage can cause CT findings of appendicitis, pathologically this condition is not considered as acute appendicitis since the inflammation begins from the serosal surface. In this study a case with right lower quadrant pain and appendicitis findings on CT but which was not considered as appendicitis pathologically is presented and discussed.

Keywords

Periappendicitis, computed tomography, appendicitis

Bilgisayarlı Tomografide Apandisit Bulguları Olan Hastada Radyolojik- Patolojik Uyumsuzluk

Abstract

Bilgisayarlı Tomografi BT akut apandisit tanısında yüksek özgüllük ve duyarlılığa sahip ve yaygın kullanımı olan bir görüntüleme yöntemidir. Safra kaçağına bağlı apendikste inflamatuar değişiklikler BT’de apandisit bulgularına neden olmakla birlikte patolojik olarak bu durum serozal yüzeyden başlayan inflamasyon nedeni ile akut apandisit olarak kabul edilmemektedir. Bu çalışmada sağ alt kadran ağrısı olan ve bilgisayarlı tomografide apandisit bulguları bulunan, ancak histopatolojik incelemesi apandisit ile uyumlu olmayan bir olgu sunularak tartışıldı.

Keywords

Periapandisit, bilgisayarlı tomografi, apandisit

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