Evaluation of radiological and temporal characteristics of acute appendicitis on the non-enhanced computed tomography images.

Purposes: To investigate the relationships and interactions between temporal and radiological features of gangrene and perforation of inflamed appendices.

Methods: A total of 402 patients were included who underwent laparoscopic appendectomies between January 1, 2016 and March 30, 2020 and had pathologically proved acute appendicitis and preoperative non-enhanced CT examinations. The radiological features (appendix diameter, appendicolith, appendiceal intraluminal gas, periappendiceal gas, periappendiceal fat stranding/fluid, and short axial diameter of the mesenteric lymph nodes) were obtained from the preoperative CT images of 382 patients with visible appendices.