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    "creator" : [ "K. Dalamarinis1, A. Petroulakis1,, P. Antonopoulos1, F. Konstantinidis1,", "I. Karanikas2, G. Antsaklis2, E. Konstantinidou2," ],
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      "@value" : "Aim: Aim of the study is to demonstrate the usefulness and\nvalidity of spiral CT in the evaluation and diagnosis of acute\ngangrenous appendicitis, a serious complication of acute\nappendicitis.\nMaterial-method: twenty-two patients, aged 22-67 are presented.\nThey were admitted in the outpatient department\nof our hospital with clinical and laboratory findings suggestive\nof acute appendicitis. All patients were examined\nby CT after the oral administration of contrast material.\nThe imaging findings were confirmed intraoperatively. Results:\na common imaging finding in all patients that were\nexamined by spiral CT, was the enlargement of the appendix\nwith periappendiceal and right paracolic fissure\nfluid collections. Intraluminal air-bubbles were demonstrated\nin 19 patients (86.3%) and calcified faecaliths in\n16 (72.7%). The wall of the inflamed appendix was demonstrated\nabnormally thin in 15 patients (68.2%) while\nthickening of the appendiceal wall was detected in 7 patients.\nIn 15 patients localized peritonitis’ imaging findings\nwere demonstrated by hazy periappendiceal and pericaecal\nfat, as well as stranding of the area. Diffuse peritonitis\nwas demonstrated in 7 patients as diffusely hazy\nperitoneal fat stranding with fluid collections in the Douglas\npouch. In 13 patients spiral CT detected diffuse inflammation\nof the right colon and terminal ileum, demonstrated\nby thickening of their walls. Finally, obstructive\nileus was demonstrated in 4 patients. Conclusion:\nspiral CT is a valuable method, appropriate for the immediate\ndiagnosis of gangrenous appendicitis, which represents\na serious complication of acute appendicitis. The\nspecific imaging findings of spiral CT, make early diagnosis\nand early operative management possible. These\nimaging findings are especially taken into account, in order\nto present some specific imaging diagnostic characteristics\nfor acute gangrenous appendicitis.\nKey words: Diagnosis, gangrenous, appendicitis, spiral-CT,\nfindings"
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      "@value" : "Annals of Gastroenterology; Volume 19, No 1 (2006)"
    }, "1108-7471", "1792-7463" ],
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    "title" : {
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      "@value" : "Acute gangrenous appendicitis-diagnosis by spiral CT"
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