Appendix CT Scan Normal Vs Appendicitis Images | Acute, Gangrenous Types & Perforated Appendix

Appendix CT Scan Normal Vs Appendicitis Images | Acute, Gangrenous Types & Perforated Appendix

*Cases
Acute Appendicitis - 0:00
Caecal Bar Sign - 3:44
Arrowhead Sign - 4:07
Gangrenous Appendicitis - 7:49
Perforated Appendicitis - 8:57

Normal Appendix:
Diameter less than 6mm
Normal fat around the appendix appears hypodense (dark) and homogeneous

Acute Appendicitis:
Dilated fluid-filled appendix (Diameter more than 6mm)
Appendicolith: Hyperdense (bright) structure within the appendix
The normally homogeneous, low-density fat tissue around the appendix appears more dense (brighter) and heterogeneous.

Gangrenous Appendicitis:
Parts of the wall may show lack of enhancement after contrast administration
More extensive and intense fat stranding
Gas formation within the appendix due to gas-producing bacteria involved in the infection.

Perforated Appendicitis:
Focal appendiceal wall defect
Extraluminal gas
Periappendiceal inflammation
Periappendiceal Phlegmon: Severe inflammation with extensive fluid collection. Usually has higher density (appears brighter) than abscess. Has ill-defined borders
Abscess: Has lower density (appears darker) than a phlegmon. Has a clear border or a wall, which may enhance after the administration of contrast material, indicating an inflammatory response.

[ChrisBrown-qxmy]

Thank you for the fantastic detail and information. I have the CT scans from my burst appendix but have no idea what I'm looking at. At least now I know (kinda) what I should be looking for (just for curiosity sake). Have a great day!

[canan]

Hello, Are this İmages with contrast ? I can't understand the difference between contrast and non-contrast? Thanks for the video

[ks-nzld]

Thank you sir for sharing this information, would you please help us finding the SMV and IMA during portal vein Doppler?

[mohamedabdikarim]

What a wonderful great lecturer....all the best ❤️

[zohebmulla]

Colon or large intestine ulcers can be detected in ct scan?

[lazarsajcic]

Hello sir, 5 day's ago I felt pain in right side of abdomen I did CT scan next morning and first report was "Inflammatory changes in the right iliac fossa with slight enhancement at the proximal appendix.
Features my represent mild appendicitis change" they keep me hospitalised give me 12 doses of antibiotics through IV and yesterday morning repeat CT scan and report was "Normal abdomen structure" But my pain is same I have CD with myself. Don't know what to do

[wonderfulworld]

Sir I'm very very confused. When we see the real human anatomy, the right and left organs in anatomy is in its normal and in fixed position but why the organs of right side shifted to the left side and left side organs to the right side position in CT scan. Please sir clear this concept by making a video please 🙏 sir.

[jaimetorres]

I was operated 3 weeks ago: so-called "silent appendicitis" (no fever, tolerable pain, mild leucocitosis, CRP through the roof) perforated, with peritonitis. I have looked at my CT scan like 15 times and cannot find the damn appendix