Ultrasonography for Diagnosis of Acute Appendicitis
DOI:
https://doi.org/10.7439/ijbar.v9i6.4765Keywords:
Neuropathic, Nociceptive, Ectopic, HemifacialAbstract
Objective: The aim of this study is the comparison ultrasonography used as diagnostic tool preoperatively comparing it. Clinical assessment was used as diagnostic protocols. Study design: This is a prospective observational study comparing the adverse outcome in two different groups of patients admitted with suspected acute appendicitis. The first group l00 patients were managed without ultrasonography. In the second group we use routinely graded compression abdominal ultrasonography preoperatively. Diagnostic accuracy of the protocol in each group was measured statistically and rates of negative appendectomy and perforation were determined. Result: Addition of routine ultrasonography in clinical assessment for acute appendicitis decrease the sensitivity but significantly increases the specificity of the protocol there by reducing the false positive rate translating into decrease negative appendicectomy rate. Rate of negative appendectomy was 22.5% in group one and 4.7% in group two. Perforation rate was 15.61 in group 1 and 15% in group 2. Conclusion: Proper clinical assessment is the mainstay of diagnosis in acute appendicitis and by adding graded compression ultrasonography technique can improve the diagnostic accuracy and adverse outcome.Downloads
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References
Wolf B. Schwerk, Britta Wichtrup, matrices Rothmund, and Joseph Ruschoff et al, ultrasonography in the diagnosis of Acute Appendicitis: A prospective study Gastroenterology 1989: 97: 630-9.
Zahid Ali Memon, Saboohi Irfan Kanwal Fatima et al. Acute appendicitis: diagnostic accuracy of Alvarado scoring system. Asian Journal of surgery 2013; 36. 144-149.
Lewis FR, Holcroft JW, Boey J, Dumphy JE, Appendicitis: a critical review of diagnosis and treatment in 1000 cases. Arch Surg 1975; 110: 677-83.
Singh K, Gupta S, Parga P, Application of Alvrado scoring system in the diagnosis of acute appendicitis. Jk sci. 2008; 10: 84-86.
Soomro AG, Siddiqui FG, Abro AH, Ahro S, Sheikh NA, Memon AS, Diagnostic accuracy of Alvando scoring system in acute appendicitis. J Liaqmatuniv. Med Health Sci. 2008; 7: 93-96.
Yegane R, Peyvandi H, Hajinasrollah, Salehei N, Ahmadei M. Evaluation of modified Alvardo score in acute appendicitis among Iranian patients. Acta Medicairanica. 2008; 46: 501-506.
Addiss DG, Shffer N, Fowler BS, Tauxe RV, the epidemiology of appendicitis and appendectomy in united states AM J Epidemiology 1990; 132, 910-925.
Munir K, Iqbal J, Mushtaq U, Ishaqwe I, Mudassar J, Khalid A, Modified Alvardo scoring system in the diagnosis of Acute Appendicitis. APMC. 2008; 2: 91-94.
Khan I, Rehman AU, Application of Alvardo scoring system in diagnosis of Acute Appendicitis. J Ayub. Med Coll Abbot Abad. 2005; 17: 41-44.
Limpowattanasiric. Alvardo score for the acute appendicitis in a provincial hospital. J Med Assoc Thai. 2011; 94:441-448.
Puylaert JB. Acute appendicitis ys evaluation using graded compression. Radiology 1986; 161: 691-645.
Puylaert JBCM. Ultrasound of appendicitis and its differential diagnosis. Springer. Berlin Heidelberg New-York. 1990; ISBN 3-540-52727-3.
Berry Jr. Malt RA. Appendicitis near its centenary. Ann Surg 1984: 200 (5): 567-75.
Silberman VA. Appendectomy in large metropolitan hospital: Retrospective analysis of 1. 013 cases. AM J Surg 1981; 142 (5): 615-18.
Schuler. JG Shirtsleeve MJ, Goldenson RS, Perez – Rossello JM, Perlmutter RA, Thorsen A. Is there a Role for abdominal computed tomographic scans in appendicitis. Arch Surg 1998; 133 (4): 373-6.
Thorell A, Grondal S, Schedviask, Wallim G. Value of diagnostic laparoscopy in fertile women with speeded appendicitis. Eur J. Surg 1999; 165 (8): 751-4.
Cochrane library, wild JRL, Abdul N, Ritchie. JE. Rud B. Freels nelson RL. Ultrasonography for diagnosis of acute appendicitis protocol.
Velanovich V. Satava R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implication for quality assurance. AM Surg 1992; 58 (4) 264-9.
Malik KA, Khan A, Waheed I. Evaluation of al vardo score in diagnosis of acute appendicitis. J Coll Physicians Surg Pakistan 2000; 10 (10): 392-4.
Khan I, UR Rehman A, Application of Alvardo scoring system in diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad 2005; 17 (3): 14-4.
Chen SC, Chen KM, Wang SM, Chaug KJ Abdominal sonography screening of clinically diagnosed or suspected appendicitis before surgery World J Surg 1998; 22 (5): 449-52.
Mohammed Akbar Ali Mardan, Tariq. Saeedmufi, Irfanuddinkhttalk, negendrachilkunda, Abdulmones A. role of ultrasound in acute appendicitis, J Ayub Med Coll Abbottabad 2007; 19 (3).
Lee JH, Jeong YK, Hwang JC, Ham SY, yang so, Graded compression sonography with adjutant use of posterior compression technique in the sonographic diagnosis of acute appendicitis. AJR. Am J Roentgenol 2002; 178 (4): 863-8.
Franc C, Bohner H, Yang Q, Ohmann C, Roher HD, ultrasonography for the diagnosis of Acute Appendicitis: results of prospective multicenter trial, World J Surg 1999; 23 (2): 141-146.
Chan I, Bicknell SG, Graham M, utility and diagnostic accuracy of sonography in detecting appendicitis in a community hospital. AM J Roentgenol. 2005; 184 (6): 1809-12.
Kessler N, Cyteval C, Gallix B, Lesnik A, Blayac PM, Pujolj et al. Appendicitis: evaluation of sensitivity, specificity, and predictive values of us, Doppler us, and laboratory findings. Radiology 2004; 230 (2): 472-8.
Ooms HW, Koumans RK, Ho Kang You PJ, Puylaert JB, Ultrasonography in the diagnosis of Acute appendicitis Br. J Surg 1991; 78 (3): 315-8.
Lee SL, Walsh AJ, Ho HS, computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of acute appendicitis. Arch Surg. 2001; 1365 (5): 556-62.
Lee JH, Jeongyk, Park KB, Jeong AK, Hwang GC, Operator – dependent techniques. For graded compression sonography to detect the appendix and diagnose acute appendicitis. AM J Roentgenol 2005; 184 (1): 91-7.
Mufti TS. A Khtar S, Khan K, Raziq F, Rehman Z, Ahmed I, Diagnostic accuracy in acute appendicitis; comparison between clinical impression and ultrasound findings: J Aub Med Coll Abbottabad 1996; 8 (1): 13-15.
Zahid Ali Memon, Saboohi Irfan Kanwal Fatima et al. Acute appendicitis: diagnostic accuracy of Alvarado scoring system. Asian Journal of surgery 2013; 36. 144-149.
Lewis FR, Holcroft JW, Boey J, Dumphy JE, Appendicitis: a critical review of diagnosis and treatment in 1000 cases. Arch Surg 1975; 110: 677-83.
Singh K, Gupta S, Parga P, Application of Alvrado scoring system in the diagnosis of acute appendicitis. Jk sci. 2008; 10: 84-86.
Soomro AG, Siddiqui FG, Abro AH, Ahro S, Sheikh NA, Memon AS, Diagnostic accuracy of Alvando scoring system in acute appendicitis. J Liaqmatuniv. Med Health Sci. 2008; 7: 93-96.
Yegane R, Peyvandi H, Hajinasrollah, Salehei N, Ahmadei M. Evaluation of modified Alvardo score in acute appendicitis among Iranian patients. Acta Medicairanica. 2008; 46: 501-506.
Addiss DG, Shffer N, Fowler BS, Tauxe RV, the epidemiology of appendicitis and appendectomy in united states AM J Epidemiology 1990; 132, 910-925.
Munir K, Iqbal J, Mushtaq U, Ishaqwe I, Mudassar J, Khalid A, Modified Alvardo scoring system in the diagnosis of Acute Appendicitis. APMC. 2008; 2: 91-94.
Khan I, Rehman AU, Application of Alvardo scoring system in diagnosis of Acute Appendicitis. J Ayub. Med Coll Abbot Abad. 2005; 17: 41-44.
Limpowattanasiric. Alvardo score for the acute appendicitis in a provincial hospital. J Med Assoc Thai. 2011; 94:441-448.
Puylaert JB. Acute appendicitis ys evaluation using graded compression. Radiology 1986; 161: 691-645.
Puylaert JBCM. Ultrasound of appendicitis and its differential diagnosis. Springer. Berlin Heidelberg New-York. 1990; ISBN 3-540-52727-3.
Berry Jr. Malt RA. Appendicitis near its centenary. Ann Surg 1984: 200 (5): 567-75.
Silberman VA. Appendectomy in large metropolitan hospital: Retrospective analysis of 1. 013 cases. AM J Surg 1981; 142 (5): 615-18.
Schuler. JG Shirtsleeve MJ, Goldenson RS, Perez – Rossello JM, Perlmutter RA, Thorsen A. Is there a Role for abdominal computed tomographic scans in appendicitis. Arch Surg 1998; 133 (4): 373-6.
Thorell A, Grondal S, Schedviask, Wallim G. Value of diagnostic laparoscopy in fertile women with speeded appendicitis. Eur J. Surg 1999; 165 (8): 751-4.
Cochrane library, wild JRL, Abdul N, Ritchie. JE. Rud B. Freels nelson RL. Ultrasonography for diagnosis of acute appendicitis protocol.
Velanovich V. Satava R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implication for quality assurance. AM Surg 1992; 58 (4) 264-9.
Malik KA, Khan A, Waheed I. Evaluation of al vardo score in diagnosis of acute appendicitis. J Coll Physicians Surg Pakistan 2000; 10 (10): 392-4.
Khan I, UR Rehman A, Application of Alvardo scoring system in diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad 2005; 17 (3): 14-4.
Chen SC, Chen KM, Wang SM, Chaug KJ Abdominal sonography screening of clinically diagnosed or suspected appendicitis before surgery World J Surg 1998; 22 (5): 449-52.
Mohammed Akbar Ali Mardan, Tariq. Saeedmufi, Irfanuddinkhttalk, negendrachilkunda, Abdulmones A. role of ultrasound in acute appendicitis, J Ayub Med Coll Abbottabad 2007; 19 (3).
Lee JH, Jeong YK, Hwang JC, Ham SY, yang so, Graded compression sonography with adjutant use of posterior compression technique in the sonographic diagnosis of acute appendicitis. AJR. Am J Roentgenol 2002; 178 (4): 863-8.
Franc C, Bohner H, Yang Q, Ohmann C, Roher HD, ultrasonography for the diagnosis of Acute Appendicitis: results of prospective multicenter trial, World J Surg 1999; 23 (2): 141-146.
Chan I, Bicknell SG, Graham M, utility and diagnostic accuracy of sonography in detecting appendicitis in a community hospital. AM J Roentgenol. 2005; 184 (6): 1809-12.
Kessler N, Cyteval C, Gallix B, Lesnik A, Blayac PM, Pujolj et al. Appendicitis: evaluation of sensitivity, specificity, and predictive values of us, Doppler us, and laboratory findings. Radiology 2004; 230 (2): 472-8.
Ooms HW, Koumans RK, Ho Kang You PJ, Puylaert JB, Ultrasonography in the diagnosis of Acute appendicitis Br. J Surg 1991; 78 (3): 315-8.
Lee SL, Walsh AJ, Ho HS, computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of acute appendicitis. Arch Surg. 2001; 1365 (5): 556-62.
Lee JH, Jeongyk, Park KB, Jeong AK, Hwang GC, Operator – dependent techniques. For graded compression sonography to detect the appendix and diagnose acute appendicitis. AM J Roentgenol 2005; 184 (1): 91-7.
Mufti TS. A Khtar S, Khan K, Raziq F, Rehman Z, Ahmed I, Diagnostic accuracy in acute appendicitis; comparison between clinical impression and ultrasound findings: J Aub Med Coll Abbottabad 1996; 8 (1): 13-15.
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2018-06-28
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How to Cite
Ultrasonography for Diagnosis of Acute Appendicitis. (2018). International Journal of Biomedical and Advance Research, 9(6), 205-211. https://doi.org/10.7439/ijbar.v9i6.4765
