Abstract
To make the clinical diagnosis of acute appendicitis can be a challenge. In premenopausal women and older adults, a variety of conditions, including gynecologic pathology, can mimic the symptomatology of acute appendicitis.1 Presently, radiologists increasingly are called upon to make the diagnosis of acute appendicitis at CT, with 88% of patients undergoing CT prior to appendectomy in a recent series.2 In the following review, we will discuss the CT appearance of the normal and acutely inflamed appendix, CT findings of appendiceal perforation, mimics of acute appendicitis at CT, the significance of the nonvisualized appendix, and the role of CT in patient management. Only the adult patient is covered in this review.
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