Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, USA.
Department of Radiology, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT, USA.
Emerg Radiol. 2023 Feb;30(1):107-117. doi: 10.1007/s10140-022-02098-2. Epub 2022 Nov 15.
Appendicitis is one of the most common sources of abdominal pain in the emergency setting and is generally considered a straightforward diagnosis. However, atypical appearances, non-visualization, and inconclusive features can make these cases more complicated. The objectives of this article are to review the differential diagnoses for right lower quadrant pain, discuss the imaging characteristics of simple appendicitis on computed tomography (CT), and provide guidance for equivocal cases, complicated appendicitis, and appendicitis mimics. This review will also discuss the identification and management of neoplasms of the appendix.
阑尾炎是急诊中最常见的腹痛原因之一,通常被认为是一个直接的诊断。然而,不典型的表现、未显影和不确定的特征可以使这些病例更加复杂。本文的目的是回顾右下腹痛的鉴别诊断,讨论计算机断层扫描(CT)上单纯性阑尾炎的影像学特征,并为疑难病例、复杂性阑尾炎和阑尾炎模拟病例提供指导。本综述还将讨论阑尾肿瘤的识别和处理。