Is there an obvious difference in CT scans of an appendix before bursting and after bursting?
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Sometimes. Interpreting CT scans requires years of training and even then it is not always easy. It is usually possible to tell if a patient has ruptured their appendix on a CT scan of the abdomen and pelvis but there are a number of factors that can make the scan harder to interpret (patient size, type of scanner etc.) so we can rarely be 100% certain. Scans help to guide physicians and surgeons as they treat you, but scans may not always provide concrete answers.
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