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DOI:10.2214/AJR.05.0085
AJR 2006; 186:1103-1112
© American Roentgen Ray Society


Pictorial Essay

Mimics of Appendicitis: Alternative Nonsurgical Diagnoses with Sonography and CT

Adriaan C. van Breda Vriesman1 and Julien B. C. M. Puylaert2

1 Department of Radiology, Rijnland Hospital, Simon Smitweg 1, P.O. Box 4220, NL-2350 CC, Leiderdorp, The Netherlands.
2 Department of Radiology, MCH Westeinde Hospital, The Hague, The Netherlands.

OBJECTIVE. Our objective was to illustrate the imaging features of alternative nonsurgical disorders in patients presenting with clinical signs of appendicitis.

CONCLUSION. This article illustrates the sonographic and CT features of various appendicitis-mimicking conditions that are self-limiting or that can be treated conservatively. A correct imaging diagnosis of these disorders may prevent a nontherapeutic appendectomy and unnecessary hospitalization.

Keywords: abdominal imaging • appendicitis • CT • differential diagnosis • emergency radiology • gastrointestinal radiology • sonography


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