Is serum C-reactive protein a reliable predictor of abdomino-pelvic CT findings in the clinical setting of the non-traumatic acute abdomen?

Emergency Radiology

Volumn 19, Issue 5, 2012, Pages 455-462

  Coyle, Joseph P ^a,b   Brennan, Cressida R ^a,b   Parfrey, Shane F ^a   O'Connor, Owen J ^b   Mc Laughlin, Patrick D ^a,b   Mc Williams, Sebastian R ^a   Maher, Michael M ^a,b  

^a Department of Medicine National University of Ireland Cork   (Ireland)

^b UNIVERSITY COLLEGE CORK   (Ireland)

Author keywords

Acute abdomen; Appendicitis; C reactive protein; Colitis; CT; Diverticulitis

Indexed keywords

C REACTIVE PROTEIN;

ABDOMINAL PAIN; ABDOMINAL RADIOGRAPHY; ACUTE ABDOMEN; ADOLESCENT; ADULT; AGED; ARTICLE; CLINICAL EXAMINATION; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; FEMALE; HUMAN; IMAGE ANALYSIS; INTRAABDOMINAL FAT; MAJOR CLINICAL STUDY; MALE; PELVIS RADIOGRAPHY; PRIORITY JOURNAL; PROGNOSIS; PROTEIN BLOOD LEVEL; SENSITIVITY AND SPECIFICITY;

ABDOMEN, ACUTE; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; APPENDICITIS; BIOLOGICAL MARKERS; C-REACTIVE PROTEIN; FEMALE; HUMANS; MALE; MIDDLE AGED; PELVIS; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84871329231     PISSN: 10703004     EISSN: 14381435     Source Type: Journal    
DOI: 10.1007/s10140-012-1041-4     Document Type: Article

References (21)

1. Silen W (2005) Cope's early diagnosis of the acute abdomen, 21st edn. Oxford University Press, New York
2. Siegenthaler W (2007) Differential diagnosis in internal medicine: from symptom to diagnosis. Thieme, Stuttgart, p 257
3. Mahler CW, Boermeester MA, Stoker J, Obertop H, Gouma DJ (2005) Diagnostic modalities in diagnosis of adult patients with acute abdominal pain. Ned Tijdschr Geneeskd 149:1075-1076
4. Siewert B, Raptopoulos V, Mueller MF, Rosen MP, Steer M (1997) Impact of CT on diagnosis and management of acute abdomen in patients initially treated without surgery. AJR 168:173-178
5. Koutalonis M, Horrocks J (2011) Justification in clinical radiological practice: A survey among staff of five London hospitals. Radiat Prot Dosimetry Radiat Prot Dosimetry 149:124-137
6. Calabro P, Chang DW, Willerson JT, Yeh ET (2005) Release of Creactive protein in response to inflammatory cytokines by human adipocytes: linking obesity to vascular inflammation. J Am Coll Cardiol 46:1112-1113
7. Chi CH, Shiesh SC, Chen KW, Wu MH, Lin XZ (1996) C-reactive protein for the evaluation of acute abdominal pain. Am J Emerg Med 14:254-256
8. Puolakkainen P, Valtonen V, Paananen A, Schroder T (1987) Creactive protein (CRP) and serum phospholipase A2 in the assessment of the severity of acute pancreatitis. Gut 28 (6):764-771
9. Gurleyik E, Gurleyik G, Unalmişer S (1995) Accuracy of serum Creactive protein measurements in diagnosis of acute appendicitis compared with surgeon's clinical impression. Dis Colon Rectum 38:1270-1274
10. Rosen MP, Sands DZ, Longmaid HE 3rd, Reynolds KF, Wagner M, Raptopoulos V (2000) Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain. AJR Am J Roentgenol 174(5):1391-1396
11. Wilson DH, Wilson PD, Walmsley RG, Horrocks JC, De Dombal FT (1977) Diagnosis of acute abdominal pain in the accident and emergency department. Br J Surg 64:250-254
12. Tsushima Y, Yamada S, Aoki J,Motojima T, EndoK (2002) Effect of contrast-enhanced computed tomography on diagnosis and management of acute abdomen in adults. Clin Radiol 57(6):507-513
13. Mangini M, Carrafiello G, Laganà D, Palma L, Novario R, Dionigi G, Neri C, Fugazzola C (2008) Non-traumatic acute bowel disease: differential diagnosis with 64-row MDCT. Emerg Radiol 15(3):171-178
14. Pooler BD, Lawrence EM, Pickhardt PJ (2012) MDCT for suspected appendicitis in the elderly: diagnostic performance and patient outcome. Emerg Radiol 19(1):27-33
15. Cano Alonso R, Borruel Nacenta S, Díez Martínez P, María NI, Ibáñez Sanz L, Zabía Galíndez E (2009) Role of multidetector CT in the management of acute female pelvic disease. Emerg Radiol 16(6):453-472
16. Cakirer S, Basak M, Colakoglu B, Bankaoglu M (2002) Diagnosis of acute appendicitis with unenhanced helical CT: a study of 130 patients. Emerg Radiol 9(3):155-161
17. Kleemann R, Verschuren L, de Rooij BJ et al (2004) Evidence for anti-inflammatory activity of statins and PPARalpha activators in human C-reactive protein transgenic mice in vivo and in cultured human hepatocytes in vitro. Blood 103:4188-4194
18. Stewart SH, Mainous AG 3rd, Gilbert G (2002) Relation between alcohol consumption and C-reactive protein levels in the adult US population. J Am Board Fam Pract 15(6):437-442
19. Dessein PH, Joffe BI, Stanwix AE (2004) High sensitivity Creactive protein as a disease activity marker in rheumatoid arthritis. J Rheumatol 31(6):1095-1097
20. Forouhi NG, Sattar N, McKeigue PM (2001) Relation of Creactive protein to body fat distribution and features of the metabolic syndrome in Europeans and South Asians. Int J Obes Relat Metab Disord 25(9):1327-1331
21. Choudhry NK, Patrick AR, Glynn RJ, Avorn J (2011) The costeffectiveness of C-reactive protein testing and rosuvastatin treatment for patients with normal cholesterol levels. J Am Coll Cardiol 57(7):784-791