Validation of scoring systems for the prediction of complicated appendicitis in adults using clinical and computed tomographic findings.

Objectives: The study aimed to evaluate scoring systems for predicting complicated appendicitis in adults diagnosed with acute appendicitis on computed tomography.

Methods: Three hundred twenty-five consecutive adult patients (mean age 51.9 ± 19.

CT of appendicoliths in adult appendicitis: clinical significance and characteristics of overlooked cases.

Objectives: Accurate computed tomography (CT) identification of appendicoliths in adults with acute appendicitis is crucial as it may preclude nonoperative management due to high risk of failure and complications. This investigation aimed to identify the significance of appendicoliths in acute appendicitis and to evaluate the performance of portovenous-phase (PVP) CT and the consequences of overlooked appendicoliths.

Methods: CT examinations of 324 consecutive patients (mean age 51.