Accuracy of 64-row multidetector CT in the diagnosis of surgically treated acute abdomen

ObjectiveTo assess the accuracy of 64-row computed tomography (CT) in the differential diagnosis of acute abdomen in the emergency department.Materials and MethodsProspective analysis of 181 patients with surgically treated acute abdomen.ResultsIn 158/181 cases, CT was totally concordant with surgical repertoire. Partial concordance was found in 15 cases. Overall sensitivity was 87.3% when only cases of complete concordance were considered, 95.6% if also partial concordance cases were included.ConclusionCT showed high reliability in the differential diagnosis of acute abdomen surgically treated, although associated conditions can sometimes be missed.