The Effectiveness of Right Iliac Fossa Ileus AS A Helpful Clinical Finding in Acute Appendicitis | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 9, Issue 1, March 2012, Pages 14-20 | ||
| Authors | ||
| Ahmed A.R. Essa; Wadah M. AL-Bader | ||
| Abstract | ||
| The diagnosis of appendicitis is still based primarily on the patients history and the physical examination, accurate diagnosis reduce the risk of perforation and prevent complication. Ileus is a sign which can be diagnosed by inspection as distention in the right iliac fossa and by palpation as a gurgle (functional obstruction) and confirmed by radiological examination. The aim of this study is to evaluate the ileus in patients presented with acute appendicitis and its correlation with the pathology of acute appendicitis. This is a prospective study done on (100) patients with clinical diagnosis of acute appendicitis. Fifty patients with ileus (Group A) and Fifty patients without ileus (Group B ) were interviewed , examined , investigated and operated on . In group (A) perforated appendix was found in 10 % , while in group (B)it was 16% with a range of 13% in our study . four patients 8% had normal appendix while in group (B) severe inflammation found in 50% ,mild inflammation found in 40% and five patients 10% had normal appendix . Thirty patients 60% of those with ileus in the right iliac fossa presented late afte24 hrs and sixteen patients 32% presented within 24 hrs from beginning of pain in the right iliac fossa. The sensitivity and specificity of ileus is 50.05% , 55.5% respectively, in comparison with other symptoms and signs which help in the diagnosis of acute appendicitis . From this study we conclude that ileus is a helpful sign in the diagnosis of acute appendicitis, especially in cases presented late after (24) hours with mild inflammation of the appendix, but this finding need to be studied more thoroughly and on a larger number of cases in the future. | ||
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