CT manifestations and diagnostic value of schistosomal appendicitis
10.13929/j.1003-3289.201901167
- Author:
Zhou ZHOU
1
Author Information
1. Department of Radiology, The First Affiliated Hospital of Dali University
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Schistosomiasis;
Tomography, X-ray computed
- From:
Chinese Journal of Medical Imaging Technology
2019;35(7):1061-1064
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate CT manifestations and their diagnostic value of schistosomal appendicitis. Methods: Totally 26 patients with schistosomal appendicitis and 36 patients with non-schistosomal appendicitis confirmed by surgery and pathology were enrolled. CT manifestations were observed and compared, including appendix morphology, appendix stone shape and calcification on the adjacent colon wall. Results: There was no significant difference of appendix widening, thickening of appendix wall nor inflammation around appendix between patients with schistosomal appendicitis and non-schistosomal appendicitis (all P>0.05). Compared with non-schistosomal appendicitis, calcifications of the colonic wall and the orbital sign of the appendix stone were more common in schistosomal appendicitis, and the differences were statistically significant (both P<0.05). Conclusion: The orbital sign of the appendix stone and calcification signs of the intestinal wall around the appendix showed with plain CT combined with MPR and CPR are helpful to the diagnosis of schistosomal appendicitis.
