The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

Aim: The purpose of this study is to evaluate the effect of computed tomography (CT) on the diagnosis and treatment plan of surgeons in patients with suspected appendicitis. Material and Method: Our study was conducted between 2010 %u2013 2011. One hundred twenty five patients suspected appendicitis and underwent abdominal computed tomography scanning were enrolled. The effects of CT scanning on the diagnosis and treatment plan of surgeons were evaluated. Results: After CT scanning the findings of appendicitis was revealed in 89 patients were not revealed in 36. Eighty eight patients diagnosed with acute appendicitis after a CT scan and the 5 patients with clinical suspect of appendicitis which is not confirmed by CT scan were operated (total 93 patients). In according to histopathological findings acute appendicitis were confirmed in 83 patients and were not confirmed acute appendicitis in 10 patients. According to our study, CT has changed the diagnosis and treatment plan in 98 patients (78.4%) with suspected appendicitis. The diagnosis of acute appendicitis was confirmed in 65 (52%) of these patients, and treatment was started ending the observation. Diagnostic and treatment plan was changed in 33 patients and CT did not affect surgeon%u2019s decision in 27 (21.6%) patients. Discussion: CT is a diagnostic method which affects the diagnosis and treatment of patients with suspected appendicitis. We recommend CT scans without waiting in patients with suspected acute appendicitis