Factors Associated With Fat Stranding On Computed Tomography In Acute Appendicitis

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Laparoscopic approach for the treatment of left-sided

Even though the presentation was highly atypical for acute appendicitis, it was considered as one of the differentials for the case. To clarify the diagnosis, a workup including laboratory exams and computed tomography of the abdomen was ordered. Complete blood count showed leukocytosis of 13500 per mm3 and neutrophil left shift, with 10% bands.

Evaluation and Management of Intestinal Obstruction

15/1/2011  Acute intestinal obstruction occurs when there is an interruption in the forward flow of intes- tinal contents. This interruption can occur at any point along the length of the gastrointestinal

Diagnosis and Management of Acute Diverticulitis

fat stranding, and the most specific findings include abscesses, arrowhead sign, fascial thickening, free air, inflamed diverticulum, intramural air, intramural sinus tract, and phlegmon. 17. A disadvantage of CT is the potentially harmful effects of ionizing radiation. Table 3. lists the accuracy of CT findings for the diagnosis of acute diverticulitis.

Treatment of Colocutaneous Fistula in the Left Thigh

were noted. Contrast-enhanced computed tomography (chest and abdomen): The left iliopsoas was altered and heterogeneous attenuation was present with fatty atrophy. Heterogeneousenhancement waspresentalong theleft iliop-soas muscle with multiple air-dense foci and associated fat stranding. Focal communication of the heterogeneously

Research Article Evaluation of Clinical Alvarado Scoring

dicitis. CT diagnosis of acute appendicitis can be based on four criteria which are appendiceal diameter, presence of appendicolith, periappendiceal in ammation, and free uid. Itiscrucialtodeterminethemaximumdiameterofappendix with CT for accurate diagnosis of the acute appendicitis and to eliminate other etiologies of acute abdominal pain [].

23 Case Report

lower quadrant (RLQ). Computed tomography (CT) imaging demonstrated a 2.2-cm low attenuating lesion abutting the ascending colon with pericolic fat stranding. Because of the persistent RLQ pain and tenderness, follow-up CT was performed and it showed a decreased lesion without complications. This

Reports in Medical Imaging Dovepress

its convenience, readiness, and diagnostic accuracy, abdominal computed tomography (ACT) is increasingly utilized to help diagnose acute appendicitis in pediatric emer-gency departments.1,2 Although ACT has high sensitivity and specificity in the detection of appendicitis in pediatric patients, diagnostic challenges still exist for patients who

CT imaging findings of epiploic appendagitis: an unusual

Mild fat stranding is surrounding the lesion (arrowhead) Fig. 2 Acute epiploic appendagitis in a 41-year-old man. a Ultrasound transverse scan, at the point of maximum tenderness, shows a well-defined hyperechoic ovoid fat lesion, surrounded by hypoechoic rim (arrowheads), adjacent to the anterior abdominal wall. b Axial non-contrast CT image

Acute Appendicitis in a Patient With Situs Inversus

Acute appendicitis is one of the most common presenta-tions of acute abdomen requiring surgical evaluation.1,4,5 The classic presentation of acute appendicitis is vague abdominal pain that starts at the umbilicus and then lo-calizestotherightlowerquadrant,nearMcBurney spoint. It is associated with anorexia and fever, and CT scanning

Reduced scan range abdominopelvic CT in patients with

are often inconclusive. Computed tomography is a power-ful and widely used alternative with high accuracy in diag-nosing acute appendicitis as well as alternative diagnoses. However, its major drawback is the radiation exposure which is of interest especially in younger persons who are frequently affected by acute appendicitis [2]. Conse-

A Child with the Rare Diagnosis of Acute Appendicitis and

affected due to relative paucity of omental fat.3 There has been increasing report of omental torsion among the children in recent years, which may be partly explained by more widespread use of computed tomography (CT) scan for investigation of paediatric abdominal pain. Another possibility is the increasing number of obese children.

Stercoral colitis mimicking appendicitis

dilated rectosigmoid colon associated with retrocecal appendicitis and pericolic fat stranding (Fig. 2). The patient was taken to the operating room for an urgent exploratory laparotomy and found to have clear fluid in the peritoneal cavity without any obvious perforation. We

Primary Epiploic Appendagitis: Solving the Puzzle of a

mesentery with stranding of fat within and surrounding it. The most common CT feature in acute epiploic appendagitis is an oval lesion less than 5cm in diameter (Typical diameter range 1.5-3.5cm) that has attenuation equivalent to that of fat, abuts the anterior colonic wall and is surrounded by inflammatory

MR Imaging Evaluation of Abdominal Pain during Pregnancy

22/3/2018  T2-weighted images, and no periappendiceal fat stranding or fluid. Figure 3. Acute appendicitis in a 27-year-old pregnant patient at 26 weeks gestation. Sagittal (a), axial (b), and coronal (c) T2-weighted SSFSE images show a fluid-filled 8-mm-diameter appen-dix (white arrows) with periappendiceal inflammatory change (black arrows). An

Evidence-based Practice Center Systematic Review Protocol

mesenteric fat (which helps visualize periappendiceal fat stranding, a radiological sign of appendicitis), may affect the relative test performance of CT performed with or without contrast (contrast being more useful in individuals with low BMI and children).6 Clinical signs and symptoms, along with the results of laboratory or imaging tests,

IVC Thrombosis: A Preoperative Surprise In A Young Patient

associated with secondary causes such as peripheral deep vein thrombosis (DVT), systemic coagulopathy, abdominal surgery, tumors, Budd-Chiari syndrome, infections or rarely it could be idiopathic2-3. The occurrence of IVCT in association with acute appendicitis is an extremely uncommon event and after an extensive literature review we

Imaging Manifestations of Abdominal Fat Necrosis and Its

involve fat may be visualized at computed tomography, including fo-cal lipohypertrophy, pathologic fat paucity (lipodystrophies), and malignancies such as liposarcoma, which may mimic benign causes of fat stranding. Because fat necrosis and malignant processes such as liposarcoma and peritoneal carcinomatosis may mimic one another,

Emphysematous pyelitis presenting as an acute abdomen in

acute appendicitis.Contrast computed tomography scan of the abdomen showed an enlarged appendix without fat stranding and air in the medulla of the right kidney without parenchymal infiltration (Fig 1).The kidneys were small and cystic consistent with acquired cystic disease.Complete blood count showed a normal white blood cell count of

Case report: Challenges in diagnosis and treatment of

linked to several risk factors including advancing age, low-fiber diet, high-fat diet, obesity, excessive alcohol consumption, and smoking (Bohm, 2015). Most cases of diverticulosis are asymptomatic or manifest with nonspecific abdominal symptoms. Patients often do not seek medical attention until they develop diverticular

The Vomiting Patient - UMEM

Small bowel obstructions represent 15% of emergency department visits for acute abdominal pain and can be associated with significant morbidity and mortality if unrecog-nized and untreated. Computed tomography scans have become the mainstay of diagnosis, and management

Imaging of Mesenteric Ischemia - ACR

other more common causes of acute abdominal pain, such as appendicitis, diverticulitis, peptic ulcer disease, acute pancreatitis, For the purposes of distinguishing between CT) and CT angiography (computed tomography (CTA), ACR mesenteric fat stranding,

Radiology: Fishbone Perforated Appendicitis

precipitate appendicitis. Careless eating, particularly in children, insensitive denture plates, poor vision, mental infirmity, inflammatory bowel conditions and drug addiction often are contributing factors. Thread-like in outline, offering no contrast in colour and giving but little sense of resistance in mastication, even

Ochsner Sherren regimen Vs Appendectomy in Adults with

scan finding including visualization of the appendix, free fluid, blurred pericecal fat, mesenteric fat stranding, and free air with final pathology results(12). V. CONCLUSION The present study confirms the time dependency of pathology grade and complication rate on symptom duration in adult patients with acute appendicitis.

Dr. BENARD KURIA NJAU H58/87628/2016

unenhanced low-dose multi-detector computed tomograpy. dr. benard kuria njau h58/87628/2016 a research submitted in partial fulfillment for the award of master of medicine in diagnostic imaging and radiation medicine, university of nairobi. university of nairobi, college of health sciences, department of diagnostic imaging and radiation

Retraction - Hindawi

tion, wall thickening, periappendiceal fat stranding, and a periappendiceal collection are shown. Additional CT find-ings in surgically proven cases of an incarcerated DGH include free fluid within the hernia sac, an engorged appen-dix with associated fat stranding, and extraluminal or intra-mural gas [3, 15]. The presence of intramural air

Original Article Role of focused appendiceal Computed

Objective: To determine the accuracy of FACT (focused appendiceal computed tomography) in evaluation of acute appendicitis. Methods: The study was conducted in Aga Khan University Hospital, Karachi, over a period of one year. Sixty-three patients with clinically equivocal acute appendicitis underwent thin-section non-enhanced helical CT. Axial scans were obtained in a single breath hold

MR Imaging of Pregnant Women with Abdominal Pain and

and acute appendicitis, are the two most important factors leading to difficulties in identification and diagnosis [3]. Computed tomography (CT) [4] and ultrasound (US) [5], have been traditionally used for diagnosing and excluding appendicitis. The major disadvantage of using CT in pregnancy is the radiation exposure to the fetus and the mother.


ened and enhanced wall, surrounded by fat stranding and multiple enlarged regional lymph nodes. The radiologist suggested the presence of an appendiceal intussusception into the cecum caused by a mucocele of the appendix. Laparoscopic appendectomy was scheduled for acute appendicitis based on the work-up. Initial exploration of the abdominal cavity

CT findings of misleading features of colonic diverticulitis

regard for CT features. Moreover, computed tomography (CT) is widely accepted as the standard of reference technique for diagnosis of CD [1 3]. However, the diagnosis may be misleading in the case of unusual presentation that may mimic several acute or even chronic abdominal pathological conditions [4]. Knowledge of the

Added value of diffusion-weighted MR imaging to non

Acute abdominopelvic pain (acute abdomen) is a common presentation in patients who are admitted to emergency department. Differential diagnosis of acute abdomen ranges from mild to life-threatening conditions. The most common causes are acute appendicitis, diverticulitis, cholecystitis and bowel obstruction and less common causes include perforated

Acute Appendicitis

Complicated appendicitis typically refers to perforated appendicitis commonly associated with an abscess or phlegmon. Children less than 5 years of age and patients more than 65 years of age have the highest rates of perforation (45% and 51%, respectively). Rupture should be suspected in the presence of generalized peritonitis and a strong

Open Access Full Text Article Primary epiploic

easier with the development of high resolution computed tomography (CT), and this has been recently supported in the literature.18 On CT studies, round or ovoid lesions of fatty density measuring 1.5 3.5 cm in diameter with a hyper attenuating rim and surrounding ill-defined fat stranding are

Omental torsion - University of Toronto T-Space

Omental torsion is a rare cause of acute abdominal pain, and clinically mimics acute appendicitis. A 11-year-old boy presented with symptoms and signs suggestive of appendicitis. A computed tomography of abdomen revealed findings suggestive of omental torsion. Diagnostic laparoscopy confirmed the

American Journal of Surgery and Clinical Case Reports

A Computed tomography (CT) scan was done on initial presenta- matory changes of the appendix with surrounding fat stranding with the base of the appendix adherent to the cecum acute appendicitis using computed tomography. J Comput Assist Tomogr. 2007; 31(5): 763-9.

Acute mucosal appendicitis and epiploic appendagitis in an

generally insignificant. Abdominal computed tomography (CT) showed features suggestive of acute appendicitis (diameter of appendix was 7 mm and inflammatory changes noted in the mid part). Based on these findings, a laparoscopy was performed. Intraoperatively, there was a macroscopically normal appearing appendix and an anticlockwise rotation of

Immunoglobulin A vasculitis presenting as terminal ileitis

A computed tomography (CT) scan of the abdomen and pelvis was performed which showed no evidence of acute diverticulitis. However, wall thickening was noted in the distal ileum with perienteric fat stranding and perienteric fl uid collections (Figure 1). Furthermore, there was associated congestion of the small bowel mesentery with

The characteristics of appendicoliths associated with

(OR: 13, 95% CI: 7.1-23.6; p < 0.001) were independently associated with acute appendicitis. Conclusion. Multiple appendicoliths and appendicoliths larger than 5 mm are associated with acute appendicitis. Categories: Emergency Medicine, Radiology, General Surgery Keywords: appendicoliths, acute appendicitis, incidental, computed tomography. Introduction

Know the name: acute epiploic appendagitis CT findings and

(ED) with acute right lower quadrant abdominal pain. The pain was described as achy in nature, does not radiate, and without aggravating or relieving factors. The patient reported associated nausea, but without vomiting or fever. A computed tomography (CT) scan was obtained in the ED, which demonstrated a hyperattenuating lesion along the

Isolated Fallopian Tube Torsion A Challenge for the

uncommon cause of acute, lower abdominal pain in women of reproductive age with an in-cidence of one in one-and-a-half million [1]. The exact etiology of fallopian tube torsion is unknown. Since the symptoms are non-specif-ic, diagnosis can be challenging and difficult. Ultrasonography and computed tomography (CT) can demonstrate changes

Retrorenal appendix: An atypical position of the vermiform

of peri appendiceal fat stranding or peri appendiceal fluid. No other significant abnormality could be detected on the scan. Based on the clinical and radiological profile of the patient, a diagnosis of acute appendicitis was derived. The notable finding on the scan was the unusual position of the appendix, a

Recent advances in the treatment of colonic diverticular

diverticula with related acute or chronic complications. Diverticulitis can be uncomplicated or complicated. It is uncomplicated when computed tomography (CT) shows colonic wall thickening with fat stranding, while it is complicated when CT demonstrates complicating features of abscess, peritonitis, obstruction, fi stulas or hemorrhage.

Unusual cause of acute abdomen omental infarction

Clinical diagnosis was acute appendicitis. This patient had history of cyclical neutropenia, or computed tomography, omental infarction should be managed conservatively. 10,12 However, Disproportionate fat stranding: a helpful sign in patients with acute abdominal pain. Radiographics 2004; 24 : 703 15.

Ileo-cecal thickening: Clinical approach to a common problem

associated features such as diarrhea, anorexia, weight loss, fever, immunocompromised status, contact history of TB, etc. helps in narrowing the differential diagnosis. In a patient with ICT presenting with any combination of symptoms such as abdominal pain, diarrhea, hematochezia, fever, weight loss, and intestinal obstruction, ITB and CD remain the

Case Report Axial Torsion and Meckel s Diverticulitis: A

tract that mimics acute appendicitis, gastroenteritis, peptic ulcer disease. Complications related to it can be clumping of bowel and omentum over the lesion while computed tomography scan of abdomen revealed wall associated with adjacent mesenteric fat plane stranding

Chronic appendicitis: uncommon cause of chronic abdominal pain

ing of CA similar to acute appendicitis [Rao et al. 1998]. The classic CT scan findings in patients with CA include a dilated appendix, periappendi-ceal fat stranding, appendiceal wall thickening with surrounding edema, calcified appendolith(s), abscess, phlegmon, and inguinal lymphadenopa-thy [Rao et al. 1998; Mazeh et al. 2009].

Appendiceal intussusception caused by mucinous cystadenoma

acute appendicitis. A 37-year-old woman was admitted with a one-day history of acute onset, right lower abdominal pain. Computed tomography showed swelling of the appendix, a pathological mass in the ileocolic region and oedematous pericolonic fat stranding.

New Mexico Nurse Practitioner Council Annual Conference, 2012

Appendicitis Acute cholecystitis Computed tomography (sensitivity 97%, specificity 98%) Soft tissue thickening/stranding pericolic fat (98%)


Ultrasound scan (USS) or computed tomography can be used to make a reliable diagnosis. Typical CT findings of omental infarction include a well-circumscribed ovoid area of heterogenous fat stranding with hyperattenuating streaks located within the omentum between the rectus abdominis and colon [8, 11]. Typical features found on ultrasound scan