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Abstract MSCT signs of appendicitis include an appendix measuring greater than 6 mm in diameter, failure of the appendix to fill with oral contrast medium or air up to its tip, and enhancement of its wall with intravenous contrast medium. Surrounding inflammatory changes, presence of an appendicolith and cecal apical changes are helpful signs in diagnosing acute appendicitis. MSCT is useful in diagnosing acute appendicitis, but also in evaluating a number of conditions that mimic appendicitis clinically, eg. cecal diverticulitis, sigmoid diverticulitis, torsion of Meckel’s diverticulum, primary epiploic appendagitis, infectious colitis, gynecologic disorders, right lower lobe pneumonia, crohn’s disease, and acute cholecystitis. MSCT also is useful in diagnosing complications of acute appendicitis e.g. appendiceal perforation, phlegmon or an abscess formation, hepatic abscess, and Pyelophlebitis. MSCT can be used in appendiceal complications to guide abscess drainage. Preference to use CT because of the more precise definition of the access route to the collection. To conclude MSCT is helpful for accurate and prompt diagnosis in suspected cases of acute appendicitis, its complications and conditions that mimic appendicitis. |