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

Objective: To assess the accuracy of 64-row computed tomography (CT) in the differential diagnosis of acute abdomen in the emergency department. Materials and Methods: Prospective analysis of 181 patients with surgically treated acute abdomen. Results: In 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. Conclusion: CT showed high reliability in the differential diagnosis of acute abdomen surgically treated, although associated conditions can sometimes be missed.