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Comparison of CT and Sonography in the Diagnosis of Acute Appendicitis: A Blinded Prospective Study

Pieter Poortman1, Paul N. M. Lohle2, Cees M. C. Schoemaker2, Henk J. M. Oostvogel1, Hans J. L. J. M. Teepen3, Klaas A. H. Zwinderman4 and Jaap F. Hamming1

1 Department of Surgery, St. Elisabeth Hospital Tilburg, Hilvarenbeekseweg 60, 5000 LC Tilburg, The Netherlands.
2 Department of Radiology, St. Elisabeth Hospital Tilburg, 5000 LC Tilburg, The Netherlands.
3 Department of Pathology, St. Elisabeth Hospital Tilburg, 5000 LC Tilburg, The Netherlands.
4 Department of Medical Statistics, Academic Medical Centre Amsterdam, 1100 DD Amsterdam, The Netherlands.



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  		Fig. 1. —Unenhanced CT scan of 26-year-old man shows classical appearance of appendicitis with appendicolith, fat stranding, and 11-mm enlarged appendix (asterisk). Dotted line shows enlarged appendix.

 


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  		Fig. 2. —Sonogram of 19-year-old man shows acute appendicitis with incompressible 8-mm appendix (asterisk) and echogenic incompressible periappendicular inflamed fat. Dotted line shows enlarged appendix.

 

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