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AJR 2005; 184:855-859
© American Roentgen Ray Society

Original Report

Why We Miss the Diagnosis of Appendicitis on Abdominal CT: Evaluation of Imaging Features of Appendicitis Incorrectly Diagnosed on CT

Charles D. Levine1,2, Orna Aizenstein2, Ofer Lehavi3 and Aryeh Blachar2

1 Department of Radiology, University of Medicine and Dentistry in New Jersey, 150 Bergen St., Newark, NJ 07103.
2 Department of Radiology, Tel Aviv Sourasky Medical Center, 6 Weizman St., Tel Aviv 62469, Israel.
3 Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv 62469, Israel.

OBJECTIVE. Our purpose was to retrospectively evaluate the cases of patients with surgically proven appendicitis that was misdiagnosed on abdominal CT to determine the causes of the missed diagnosis.

CONCLUSION. Increased awareness of the underlying factors common to most cases of the missed diagnosis of appendicitis on CT and increased radiologic vigilance in cases of atypical abdominal pain may enable us to further improve our diagnostic accuracy.


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