Joshua C Hunsaker, Rebekah Aquino, Brad Wright, Patrick Kobes, Anne Kennedy, Dell Dunn
Emerg Radiol . 2023 Feb;30(1):107-117. doi: 10.1007/s10140-022-02098-2. Epub 2022 Nov 15.
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, and inconclusive features can make these cases more complicated. The objectives of this article are to review the differential diagnoses for right lower quadrant pain, discuss the imaging characteristics of simple appendicitis on computed tomography (CT), and provide guidance for equivocal cases, complicated appendicitis, and appendicitis mimics. This review will also discuss the identification and management of neoplasms of the appendix.