ABSTRACT
To examine the relationship between acute appendicitis and the presence of an appendicolith in abdominal CT scans of patients attending emergency services. Abdominal CT scan reports were retrospectively reviewed for 267 patients through the PACS database. A 16-slices MDCT GE Light Speed scanner [Milwaukee WI] was used with a scanning protocol of 5 mm axial collimation and a pitch of 1.0, along with oral contrast material [Gastrografin 3.7% diatrizoate meglumine] and 140 mL of intravenous [IV] nonionic contrast material [Omnipaque]. Particular attention was given to the study protocol, patients' age, and gender. We used MS-EXCEL and SPSS version 12.0 to perform chi-square and Fisher's exact tests. Bookends and Papers, components in Mac OS X software, were used for literature reviews and the organization of results. Two hundred and sixty-seven abdominal CT scan reports were examined along side their respective images on a GE Centricity workstation. Thirty-four [12.7%] were labeled as acute appendicitis cases based on the CT findings and the rest were assigned other diagnoses. Twenty-six of the 267 CT scan reports were plain studies and 241 were contrast-enhanced scans. Less than half of the patients [123, 46.1%] were males and 144 [53.9%] were females. Thirteen males [48.1%] and 14 [51.9%] females were found to have an appendicolith. Only 3% in the /= 71 years' age groups. We conclude that the presence of an appendicolith i] has no particular predilection for gender or age, and ii] is not associated with a diagnosis of appendicitis
Subject(s)
Humans , Male , Female , Cecal Diseases/diagnostic imaging , Lithiasis/diagnostic imaging , Tomography, X-Ray Computed , Retrospective Studies , Predictive Value of TestsABSTRACT
Laparoscopy assisted hemicolectomy for ileo-caecal tuberculosis is being evaluated the world over. Several procedures are performed laparoscopically, including the laparoscopic hemicolectomy, for benign and malignant diseases. Abdominal tuberculosis is one of the commonest causes of intestinal obstruction in India. We have evaluated the role of laparoscopic resection of ileocaecal tuberculosis and successfully performed the procedure in five patients. The clinical profiles of patients and operative procedure are discussed in this article with a brief review of the literature.
Subject(s)
Adult , Barium Sulfate/diagnosis , Cecal Diseases/diagnostic imaging , Colectomy/methods , Enema , Female , Follow-Up Studies , Humans , Ileal Diseases/diagnostic imaging , Laparoscopy/methods , Male , Treatment Outcome , Tuberculosis, Gastrointestinal/diagnostic imagingABSTRACT
The radiologic findings in 22 patients with ileo-caecal tuberculosis were studied to determine its role in diagnostic evaluation. On barium contrast studies 20 patients showed characteristic radiographic appearances: conical, shrunken, retracted caecum associated with a narrow, ulcerated terminal ileum. Two cases presented with nonspecific intestinal obstruction. In conjunction with clinical correlation, barium studies are helpful in the evaluation of ileo-caecal tuberculosis showing the location and extent of intestinal involvement in most cases. Typical radiographic findings are seen when the inflammatory process is severe