GI Tract Printer-ready protocol

Appendix, cecum: R/O appendicitis- Protocol 2

Specific Anatomic Region

Appendix, Cecum

Application

R/O appendicitis

Author

Fishman EK

Reference Source

Personal Communication

Scanner Used

Siemens Somatom Plus4

Injection Rate

2-3cc/sec

Contrast Volume and Type

120ml Omnipaque-350

Area Scanned

Diaphragm to symphysis

Scan Delay

30 sec

Length of Spiral (time)

35-40 sec

Slice Thickness

5mm

Table Speed/Pitch

8mm/sec

Reconstruction Interval

3-5mm

3D Technique Used

None

Comment: There are many ways to evaluate the appendix. We always use IV contrast but never use rectal contrast. We either use 750-1000 cc of oral Hypaque or just give 750-1000 cc of water. Water works well if the plain x-ray or topogram suggests a small bowel obstruction.

1A 1B Case 1: appendicitis

2A 2B Case 2: appendicitis

3A 3B Case 3: appendicitis.

4A 4B Case 4: appendicitis