Abstract
Purpose: To evaluate the accuracy of limited computed tomography (CT) in the hands of the average radiologist in a busy community hospital assessing a patient for acute appendicitis. Materials and methods: Ninety-six consecutive patients were examined with CT and the results, independently reported, were correlated with histopathologic findings and clinical follow-up. Results: Forty-three patients had acute appendicitis, 53 patients did not; sensitivity was 89 %, specificity 91 %, accuracy 90 %, positive predictive value 91 %, and negative predictive value 90 %. Nonvisualization of the appendix did not necessarily preclude an accurate assessment for acute appendicitis. Conclusion: Limited CT of the pelvis using rectal contrast only is a useful radiographic test for evaluating acute appendicitis, with practical application for the average radiologist in a busy community hospital.
Similar content being viewed by others
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cole, J., Nipper, M. Radiologic evaluation of acute appendicitis in the busy community hospital. Emergency Radiology 8, 257–261 (2001). https://doi.org/10.1007/PL00011916
Issue Date:
DOI: https://doi.org/10.1007/PL00011916