Utility of CT Intraluminal Gas Detection in Assessing Gangrenous Appendicitis
Dr Pawar Swathi
, Dr. A.Rithika reddy , Dr. Gosala Rohan Bharadwaj , Dr B Nuthan , Dr GS Kejriwal
appendix, appendiceal inflammation, appendicitis.
Introduction: This manuscript investigates the presence of intraluminal gas in acute, nonperforated appendicitis on CT scans as a marker for diagnosing gangrenous appendicitis. Methods: This retrospective observational case-control study was conducted over two years at a tertiary institution. It included patients diagnosed with acute appendicitis via CT who underwent surgery within 48 hours. Exclusions were patients under 16, those with more than 48 hours between CT and surgery, and those with CT evidence of perforated appendicitis. Three radiologists independently assessed the CT images for intraluminal gas. The findings were then correlated with surgical and histopathology reports to distinguish between nongangrenous and gangrenous appendicitis. The sensitivity, specificity, and predictive values of CT-detected intraluminal gas for gangrenous appendicitis were calculated. Results: The study included 93 patients with nonperforated acute appendicitis who had surgery within 48 hours. Intraluminal gas was identified in 26 patients (28%), of which 54% had gangrenous appendicitis. Among the 67 patients without intraluminal gas, 33% had gangrenous appendicitis. The specificity of intraluminal gas for gangrenous appendicitis was 79%, with a negative predictive value of 86% and a likelihood ratio of 1.85. Conclusion: In established acute appendicitis cases, the presence of intraluminal gas on CT is a moderately specific indicator of gangrenous complications. Reporting this finding can help prioritize and manage patients more effectively, leading to timelier surgical intervention and improved outcomes.
"Utility of CT Intraluminal Gas Detection in Assessing Gangrenous Appendicitis", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.9, Issue 5, page no.767 - 772, May-2024, Available :https://ijsdr.org/papers/IJSDR2405104.pdf
Volume 9
Issue 5,
May-2024
Pages : 767 - 772
Paper Reg. ID: IJSDR_211375
Published Paper Id: IJSDR2405104
Downloads: 000347334
Research Area: Medical Science
Country: Vizianagaram, Andhra pradesh, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
