Morphologic criteria of vermiform appendix on computed tomography and a possible risk of developing acute appendicitis

Amanda Chambi Tames; Fernando Ide Yamauchi; Adham do Amaral e Castro; Caroline Duarte De Mello Amoedo; Ellison Fernando Cardoso; Ronaldo Hueb Baroni; Adriano Tachibana

doi:10.1590/0100-3984.2018.0118

Back

Morphologic criteria of vermiform appendix on computed tomography and a possible risk of developing acute appendicitis

Journal article

Open access

Peer reviewed

Morphologic criteria of vermiform appendix on computed tomography and a possible risk of developing acute appendicitis

Amanda Chambi Tames, Fernando Ide Yamauchi, Adham do Amaral e Castro, Caroline Duarte De Mello Amoedo, Ellison Fernando Cardoso, Ronaldo Hueb Baroni and Adriano Tachibana

Radiologia brasileira, Vol.52(4), pp.217-221

07/01/2019

DOI: 10.1590/0100-3984.2018.0118

PMID: 31435081

Files and links (1)

url

https://doi.org/10.1590/0100-3984.2018.0118View

Published (Version of record) Open Access

Abstract

Objective: To evaluate the correlation of morphological criteria of the cecal appendix using computed tomography (CT) and the possible risk of developing acute appendicitis. Materials and Methods: Cases were defined as patients with surgically confirmed acute appendicitis who had undergone CT at least twice: at diagnosis and at least one month prior. Controls were defined as emergency patients with abdominal pain who had undergone abdominal CT that excluded acute appendicitis and had also undergone CT at least one month before. Results: 100 cases and 100 controls were selected for inclusion in the final analysis. Comparisons between the cases and controls revealed the following: mean transverse diameter of 0.6 cm (range, 0.4-1.0 cm) versus 0.6 cm (range, 0.6-0.8 cm; p = 0.37); mean length of 6.6 cm (range, 3.5-9.7 cm) versus 6.6 cm (range, 4.5-8.3 cm; p = 0.87); mean angle of 100° (range, 23-178°) versus 86° (range, 43-160°; p = 0.01); vertical descending orientation in 56% versus 45% (p = 0.2); absence of gas in 69% versus 77% (p = 0.34); and presence of an appendicolith in 17% versus 8% (p = 0.08). Conclusion: Hypothetical risk factors for obstruction of the vermiform appendix detected on CT were not associated with acute appendicitis. That suggests that factors other than those related to mechanical obstruction are implicated in the pathogenesis of acute appendicitis.

Appendicitis

Appendix

Emergency medicine

Multidetector computed tomography

Details

Title: Subtitle: Morphologic criteria of vermiform appendix on computed tomography and a possible risk of developing acute appendicitis
Creators: Amanda Chambi Tames - Hospital Israelita Albert Einstein
Fernando Ide Yamauchi - Hospital Israelita Albert Einstein
Adham do Amaral e Castro - Universidade Federal de São Paulo
Caroline Duarte De Mello Amoedo - Hospital Israelita Albert Einstein
Ellison Fernando Cardoso - Hospital Israelita Albert Einstein
Ronaldo Hueb Baroni - Hospital Israelita Albert Einstein
Adriano Tachibana - Hospital Israelita Albert Einstein
Resource Type: Journal article
Publication Details: Radiologia brasileira, Vol.52(4), pp.217-221
DOI: 10.1590/0100-3984.2018.0118
PMID: 31435081
NLM abbreviation: Radiol Bras
ISSN: 0100-3984
eISSN: 1678-7099
Number of pages: 5
Language: English
Date published: 07/01/2019
Academic Unit: Radiology
Record Identifier: 9985134035402771

Metrics

1 Record Views