The Role of Ultrasound in the Diagnosis of Acute Appendicitis: A Prospective Study | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 13, Issue 2, June 2014, Pages 226-229 PDF (0 K) | ||
| Authors | ||
| Mumtaz Khudhur Hanna; Zuhair Bashir Kamal; Laith Naif Hindosh; Wisam Abdullteef Hussein | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Misdiagnosis of acute appendicitis is a common and crucial problem in general surgery, as the mortality and morbidity increase from 3 – 15 folds if appendix is perforated. Graded compression ultrasonography is one of the new diagnostic techniques that were introduced to improve the diagnostic accuracy and consequently the clinical outcome. OBJECTIVE: The aim of the current study is to assess the diagnostic accuracy of ultrasound in the diagnosis of suspected acute appendicitis. METHODS: One hundred-eighty patients admitted to the general surgical ward at Al Kindy Teaching Hospital from 1 June 2009 to 28 Feb. 2010. All patients were complaining of right iliac fossa pain and tenderness with a suspicion of acute appendicitis, a clinical assessment done for them by using modified Alvarado score (only patients with Alvarado score 5 and below were included). All patients were investigated by WBC count and general urine analysis. When the diagnosis of acute appendicitis was clinically equivocal, an abdominal ultrasound performed within 4 hours of admission. A dilated, Non- compressible appendix greater than 6 mm diameter, and edema and asymmetry of the appendicular wall were considered positive for the diagnosis of acute appendicitis. A normal appendix on histopathological examination with positive ultrasonographic findings was considered false positive result. RESULTS: The findings according to histopathological examination shows that 160 cases were true positive cases,14 cases were found to be true negative , 1 cases was false positive and 5 cases were false negative cases.: Ultrasonography yielded a sensitivity rate of 96% and specificity rate of 93%. CONCLUSION: Ultrasound by graded compression technique provides highly accurate, sensitive and specific test for clinically equivocal acute appendicitis. . | ||
| Keywords | ||
| KEYWORDS; Ultrasonography | ||
|
Statistics Article View: 144 PDF Download: 102 |
||