Focused abdominal CT scan for acute appendicitis in children: can it help in need?
Akhtar, W.; Ali, S.; Arshad, M.; Ali, F.N.; Nadeem, N.
JPMA. Journal of the Pakistan Medical Association 61(5): 474-476
2011
ISSN/ISBN: 0030-9982 PMID: 22204183 Document Number: 650680
To evaluate the focused abdominal CT scan [FACT] in clinically equivocal cases of acute appendicitis in paediatric population. 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. 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. 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.