Inflammatory appendix mass in @entity1 with XXXX : CT diagnosis and clinical relevance.

@entity1 @entity32 @entity697
The purpose of our study was to analyze the clinical relevance of computerized tomography (CT) in providing the diagnosis of @entity32 ( @entity32 ) in @entity1 with @entity697 . The CT images of 134 @entity1 were reviewed. Two groups of @entity1 were made according to the presence (group 1; n   =   21) or the absence (group 2; n   =   113) of @entity32 . Clinical signs of @entity1 , CT features, complications at surgery, and histological examinations were noted. Inter-observer agreement was assessed by using kappa statistics. Twenty-one @entity1 presenting with CT features of @entity32 were diagnosed. An excellent inter-observer agreement (k   =   0.94) was assessed for the diagnosis of @entity32 . No significant statistical difference in the age distribution was observed between @entity1 with @entity32 (mean age 55) and @entity1 without (mean age 45) (p   =   0.2232). No clinical sign showed a statistically significant association with the presence of @entity32 (p   =   0.707) or with complication encountered at surgery (p   =   0.180). Delay to CT examination was 5.4  days in @entity1 presenting with CT features of @entity32 and of 1.7  days for @entity1 presenting without (p   =   0.0001). Conversely to @entity697 complicated by simple perforation (p   =   0.153) or peri-appendicular abscess (p   =   0.501), @entity697 presenting with @entity32 showed a statistically significant association with complications encountered at surgery (p   =   0.0003) and the need for conversion to open surgery (p   =   0.001). Performing CT in complicated @entity697 provides the diagnosis of @entity32 . Distinction of @entity32 appeared to be of clinical relevance, since immediate surgery in @entity32 was statistically associated with surgical complications and conversion to open surgery in our study.
