Is acute appendicitis complicated or uncomplicated? Approaching the question via computed tomography

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dc.contributor.authorAkcicek, Mehmet
dc.contributor.authorIlgar, Mehtap
dc.contributor.authorUnlu, Serkan
dc.date.accessioned2026-06-19T06:38:20Z
dc.date.available2026-06-19T06:38:20Z
dc.date.issued2023
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBackground The distinction between complicated and uncomplicated appendicitis is very important for the selection of the treatment method. Purpose To investigate the sensitivity and specificity of computed tomography (CT) in differentiating between complicated and uncomplicated appendicitis to demonstrate that false negativity in differentiating these cases can be reduced when CT findings are incorporated into the clinical evaluation of patients. Material and Methods All patients aged >= 18 years who underwent appendectomy at Malatya Training and Research Hospital in 2020 and 2021 were retrospectively screened. Of them, 283 patients were included in the study who had undergone CT before the operation. Patients with appendicitis were divided into two groups: complicated and uncomplicated, according to the results of their pathology tests. Demographic data, laboratory results, and CT images of the patients were evaluated. Results The patients with complicated appendicitis had a significantly higher mean age (P<0.001). The most common CT findings in patients with complicated appendicitis were moderate or severe peri-appendiceal fat stranding (PFS) and appendix wall enhancement defect (AWD). The findings with the highest sensitivity were PFS (77.9%) and AWD (69.4%). Although abscess, phlegmon, and peri-appendiceal air had the highest specificity (100%), these findings were the ones with the lowest sensitivity. According to the scoring system was developed for the differential diagnosis, CT had a sensitivity of 83.3% and a specificity of 79.2%. Conclusion Based on the sensitivity and specificity values measured for CT according to the findings of our study, the scoring system may be useful for the differential diagnosis of complicated appendicitis.
dc.identifier.doi10.1177/02841851221141221
dc.identifier.endpage1764
dc.identifier.issn0284-1851
dc.identifier.issn1600-0455
dc.identifier.issue5
dc.identifier.orcid0000-0002-0232-1284
dc.identifier.orcid0000-0001-7535-0812
dc.identifier.pmid36451525
dc.identifier.scopus2-s2.0-85143633148
dc.identifier.scopusqualityQ3
dc.identifier.startpage1755
dc.identifier.urihttps://doi.org/10.1177/02841851221141221
dc.identifier.urihttps://hdl.handle.net/20.500.12899/5512
dc.identifier.volume64
dc.identifier.wosWOS:000912166800001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofActa Radiologica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260612
dc.subjectAppendicitis
dc.subjectAppendix
dc.subjectComputed Tomography
dc.titleIs acute appendicitis complicated or uncomplicated? Approaching the question via computed tomography
dc.typeArticle

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