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Diagnostic value of unenhanced helical CT in adult patients with suspected acute appendicitis

G Ege, MD 1 H Akman, MD 1 A Sahin, MD 2 D Bugra, MD 2 and K Kuzucu, MD 1

Departments of 1 Radiology and 2 General Surgery, Istanbul International Hospital, Istanbul cad. No: 82 34800 Yesilkoy, Istanbul, Turkey



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Figure 1. An inflamed appendix with appendicolith in the normal location.

 


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Figure 2. A retrocaecal appendix associated with right lateroconal fascial thickening and peri-appendiceal inflammatory changes (arrow) was detected.

 


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Figure 3. Caecal wall thickening and adjacent inflammatory change was misdiagnosed as acute appendicitis, although the appendix was not positively identified. The pathological diagnosis was caecal diverticulitis (arrows).

 





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