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Assessment of reporting quality of CT abdomen pelvis performed for right iliac fossa pain.
EP29167
Assessment of reporting quality of CT abdomen pelvis performed for right iliac fossa pain.
Submitted on 14 Sep 2018

Dr Joanne Todd, Dr Maryam Rahiminejad, Dr Rebecca Dixon.
Department of Radiology, Wrexham Maelor Hospital
This poster was presented at BIR Annual Congress 2018.
Poster Views: 22
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Poster Abstract
Assessment of reporting quality of CT abdomen pelvis performed for right iliac fossa pain.

Right Iliac fossa pain is a common clinical presenting complaint in secondary care and can often present a diagnostic quandary to the receiving clinicians. The most The lifetime risk of appendicitis is 7% - 8% with an overall incidence of 11 cases per 10,000 population per year. Due to the variable nature of the appendix position with respect to the caecum, the clinical presentation of appendicitis can vary greatly. Diagnostic CT imaging has been shown to reduce the rate of negative appendicectomy and may offer a diagnosis for those who have an indeterminate presentation.

In this study we audit quality of report of CT abdomen and pelvis in cases of right iliac fossa pain and suspected appendicitis and compare to the histological reports of the surgical specimen. The standards used, as recommended by the RCR, were a positive predictive value of >92% and a negative appendicectomy rate of <10%.


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4. Colson M., Skinner K.A., Punnington G., 1997. High negative appendicectomy rates are no longer acceptable. Am J Surg, 174(6), pp.723
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