Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Multi-Detector CT Findings of Typical and Atypical Appendicitis: A Pictorial Essay

전형적 및 비전형적 충수염의 다중검출기컴퓨터단층촬영 소견: 임상화보

  • Na Ri Yun (Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • You Dong Won (Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Su Lim Lee (Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 윤나리 (가톨릭대학교 의과대학 의정부성모병원 영상의학과) ;
  • 원유동 (가톨릭대학교 의과대학 의정부성모병원 영상의학과) ;
  • 이수림 (가톨릭대학교 의과대학 의정부성모병원 영상의학과)
  • Received : 2023.03.21
  • Accepted : 2023.05.28
  • Published : 2023.09.01
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Abstract

Multi-detector CT (MDCT) is a highly accurate diagnostic tool that is commonly used to evaluate appendicitis and its complications. The diagnosis of appendicitis based on MDCT findings can be difficult and challenging when the observed findings are inconsistent with the typical features. Atypical appendicitis includes a wide spectrum of features, such as variable positions of the appendix and cecum, complications, and unusual pathological findings of secondary appendicitis that mimic or induce appendicitis. Our pictorial essay describes the diverse spectrum of atypical appendicitis and appendicitis-like conditions in terms of location abnormalities, complications, and uncommon pathologies, including related tumors, reactive appendicitis, appendiceal diverticulitis, and IgG4-related disease. Through this essay, the readers can become more familiar with MDCT findings of atypical appendicitis.

다중검출기컴퓨터단층촬영(multi-detector CT; 이하 MDCT)은 높은 정확도를 가진 진단도구로서 충수염과 그 합병증을 평가하기 위해 보편적으로 사용된다. MDCT 소견에 근거한 충수염의 진단은 영상 소견이 전형적인 모습과 일치하지 않을 때 어려울 수 있다. 비전형적인 충수염에는 충수 및 맹장의 위치이상을 동반하는 경우, 합병증이 나타난 경우 그리고 충수염을 모방하거나 유발하는 병리학적 소견을 동반한 경우 등 다양한 스펙트럼의 질환이 포함된다. 본 임상화보는 비전형적이고 복잡한 충수염 및 충수염과 유사한 상태의 다양한 스펙트럼을 위치이상, 드문 합병증 및 종양, 반응성 충수염, 충수게실염, IgG4 연관 질환을 포함한 병리학적 이상의 관점에서 설명했다. 본 임상화보를 통해 독자들은 다양한 스펙트럼의 비전형적 충수염 MDCT 소견에 더 익숙해질 수 있다.

Keywords

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