Appendicular involvement in perforated sigmoid disease:: US and CT findings

被引:10
作者
Ripollés, T [1 ]
Concepción, L [1 ]
Martínez-Pérez, MJ [1 ]
Morote, V [1 ]
机构
[1] Dr Peset Hosp, Dept Radiol, E-46017 Valencia, Spain
关键词
appendicitis; diverticulitis; US; CT; pitfalls;
D O I
10.1007/s003300050735
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We describe four patients in whom ultrasound (US) and/or computed tomography (CT) demonstrated a thickened appendix, secondarily enlarged due to perforated sigmoid diverticulitis (n = 2) of carcinoma (n = 2). The underlying pathology was correctly recognized in all cases. Secondary thickening of the appendix due to perforated sigmoid disease provides a potential pitfall mainly on US and may lead to an incorrect diagnosis and thus to unnecessary surgery or a wrong surgical intervention. Although US alone is enough to diagnose periappendicitis and sigmoid disease, combined use of US and CT may improve assessment of its origin and extension.
引用
收藏
页码:697 / 700
页数:4
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