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Computed Tomography (CT) Scan of the Appendix with Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

A CT scan of the lower-right abdomen is used to evaluate the appendix for inflammation, abscess, obstruction, or perforation.

Quick summary

["This scan can help identify appendicitis and other conditions that may cause abdominal pain."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
36145-1
Short code
CT Appendix W contr IV
Synonyms
CT Appendix W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a CT scan that creates detailed images of the appendix, the small organ attached to the large intestine in the lower-right abdomen. Intravenous contrast, usually an iodine-based dye, may be given through a vein to improve the visibility of inflammation, blood vessels, and other structures.

Why might I need this test?

The test may be ordered to evaluate appendicitis, an abscess, bowel obstruction, or a hole in the appendix. It may also help assess other causes of lower-right abdominal pain when the symptoms or initial examination are unclear.

How is the test performed?

You will lie on a table while a CT scanner takes X-ray images from different angles. A technologist may place an IV line in your arm or hand and inject contrast, then watch you briefly for a reaction. The procedure usually takes a short time and does not require sedation.

How do I prepare for the test?

Follow the imaging center's instructions about eating, drinking, medications, and whether oral contrast is required. Tell the care team if you have had an allergic reaction to iodinated contrast, have kidney disease, or are pregnant or breastfeeding, because these factors may affect the study or how contrast is used.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate appendicitis, an abscess around the appendix, obstruction, or perforation. Enlargement, wall thickening, surrounding fat inflammation, and fluid collections are findings a radiologist may interpret in relation to your symptoms and examination. CT can also identify other abdominal conditions that resemble appendicitis.

Short name

CT Appendix with IV Contrast

Frequently asked questions

Does this test involve radiation?
Yes. CT scans use X-ray radiation, but the scan is generally brief and is performed only when the expected information is considered useful for diagnosis.
Is intravenous contrast always required for an appendix CT?
This test is specifically identified as using IV contrast, so contrast is expected unless the imaging team determines it is not needed for safety or another clinical reason. Some CT protocols may also include oral contrast.
Will I know the results immediately?
A radiologist usually interprets the images and sends the report to your ordering clinician. Your clinician will explain the findings and discuss any next steps, such as observation, antibiotics, or surgery if treatment is needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy