급성충수염(急性蟲垂炎)의 단순복부촬영상(單純腹部撮影像)의 방사선학적(放射線學的) 고찰 = Radiological Evaluation of Simple Abdomen in the Acute Appendicitis

다국어 초록 (Multilingual Abstract)

In 24 cases of surgically proven acute appendicitis, the X-ray findings of simple abdomen prior to operation were analysed at the Department of Radiology, Severance Hospital. We have proved the possibility of accurate roentgen diagnosis, even in cases with vague and nonsuggestive clinical symptoms.
he radiological findings are as follows:
1. In 92.7% of cases the reflex ileus findings of bowel are noted.
2. In over 71% of cases the gaseous distension of bowel around appendix is noted. It has the significant diagnositic value of acute appendicitis when correlated with t.he clinical symptoms.
3. In 4.0% of cases the extra-alimentary free-air shadows are noted, they are found almost at the subhepatic region.
4. In 1.6% of cases the coproliths are noted, it has almost definite diagnostic significance.
5. The obliteration of right flank line or inferior hepatic angle shows diagnostic value in the cases of local or pan-peritonitis with the acute appendicitis.
6. The shadows of much fecal densities (over 58.9% of cases) will be significantly related to the acute appendicitis.