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  • Title: [Why should an abdominal CT scan be performed for suspected appendicitis in the adult patient? Lessons from ten clinical cases].
    Author: Pautrat K, Soyer P, Pocard M.
    Journal: J Chir (Paris); 2009 Oct; 146 Spec No 1():12-6. PubMed ID: 19850295.
    Abstract:
    Ten years after its introduction, the contribution and indications for computed tomography (CT) in the diagnosis of appendicitis remain the subject of controversy among surgeons. Many argue that CT is frequently superfluous and costly, results in excessive radiation exposure, and delays surgical treatment. On our service, we perform 150 to 180 adult appendectomies annually. We feel that CT helps us to avoid unnecessary appendectomy, to clear up diagnostic uncertainty, and, most importantly, to guide the choice of surgical approach. We illustrate our experience through ten clinical cases in which the use of preoperative imaging has resulted in improved care.
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