Focused abdominal CT scan for acute appendicitis in children: Can it help in need?

Waseem Akhtar, Sumera Ali, Muhammad Arshad, Farzana Nawaz Ali, Naila Nadeem

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Objective: To evaluate the focused abdominal CT scan [FACT] in clinically equivocal cases of acute appendicitis in paediatric population. Methods: A cross-sectional study was conducted at the Radiology Department of Aga Khan Hospital, from August 2007 to November 2008.A total of 84 patients (42 males & 42 females) with clinically equivocal signs and symptoms of acute appendicitis referred to radiology department for CT evaluation were studied. CT findings were compared with histopathology and clinical follow-up. Results: The sensitivity of focused CT for acute appendicitis was 91%; specificity was 69% and accuracy of 76%while PPV and NPV were 58%, 94% respectively. Conclusion: Focused unenhanced CT is a quick, accurate and non invasive modality for the assessment of clinically equivocal cases of acute appendicitis for ruling out patients and reducing negative appendectomies.

Original languageEnglish
Pages (from-to)474-476
Number of pages3
JournalJournal of the Pakistan Medical Association
Volume61
Issue number5
Publication statusPublished - May 2011

Keywords

  • Acute appendicitis
  • CT
  • Focused
  • Radiography

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