Abstracts

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E1887. The Aggravating Appendix: Lessons Learned From Challenging Cases
Authors
  1. Rebekah Aquino; University of Utah
  2. Dell Dunn; University of Utah
  3. Brad Wright; University of Utah
  4. Bhasker Koppula; University of Utah
  5. Patrick Kobes; University of Utah
  6. Anne Kennedy; University of Utah
Background
Appendicitis is one of the most common sources of abdominal pain in the emergency setting and is generally considered a straightforward diagnosis. However, atypical appearances, non-visualization, inconclusive features, and complicated "messy" cases can be aggravating for even experienced radiologists. This exhibit will address challenging presentations of appendicitis and provide data driven approaches to improve radiologist confidence and accuracy in dealing with the aggravating appendix.

Educational Goals / Teaching Points
-Know the clinical significance of the non-visualized appendix -Recognize gangrene and other signs of early complication -Provide a data driven approach for inconclusive for appendicitis by traditional criteria -Be alert to sings of possible appendiceal neoplasms and other mimickers of appendicitis

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
CT Right Lower Quadrant Appendix Appendicitis Appendicial neoplasm

Conclusion
Appendicitis is not always a simple or straightforward diagnosis. After participating in this educational exhibit, the learner will feel more confident and prepared to deal with challenging cases.