Comparing the Accuracy of Ultrasonographic findings with Post-operative findings in detection of Appendicitis in the Patients with Pain in Right Iliac Fossa
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2018, Vol 4, Issue 2
Abstract
Abstract: Appendicitis represents one of the most common causes of abdominal pain and is the most common emergent surgical condition of the abdomen. Timely diagnosis and treatment of appendicitis is necessary to reduce the risk of perforation which is associated with increased morbidity and mortality. Objective of the study is to determine the accuracy of the ultrasonographic examination in cases of appendicitis confirmed with that of surgeon's post-operative findings. A total number of 100 patients (56 men and 44 women) selected by non-probability convenience sampling over a period of 8 months, with the clinical suspicion of appendicitis, were subjected to abdominal ultrasonographic examination. Ultrasound positive cases were subjected to surgery. The accuracy of ultrasonography in the diagnosis of appendicitis was compared withclinical diagnosis and post-operative findings. Out of 100 cases that underwent ultrasonography, 74 cases were sonographically positive for appendicitis and 16 cases were negative. The overall specificity of ultrasound was 56.52% and the sensitivity was 96.1% in the diagnosis of acute appendicitis, with PPV, NPV of 88.1% and 81.25. Overall accuracy was 87%. Conclusion: Acute appendicitis is a common indication for emergency abdominal surgery. Ultrasonography is still a useful tool in the diagnosis of acute appendicitis in spite of sophisticated investigations like CT abdomen and laparoscopy; thus, reducing the cost of treatment and preventing negative laparotomies. Keywords:Appendix, Appendicitis, Ultrasound in appendicitis, Sensitivity, Specificity.
Authors and Affiliations
Iram Majeed, Muhammad Afzal, Kousar Parveen, SajjidShaheen Malik, Amir Gillani
Keywords
Related Articles
- EP ID EP397217
- DOI -
- Views 93
- Downloads 0
Clinical Profile of Deliberate Self Poisoning in Eastern Part of the Sri Lanka
Abstract:The rate of non-fatal deliberate self-harm (DSH) in Sri Lanka has increased in recent years, with associated morbidity and economic cost to the country. Pesticide ingestion is the commonest mode of suicide in As...
Extended-spectrum Beta-lactamase- Producing Escherichia coli and Klebsiella pneumoniae Clinical Isolates in Sudanese Hospitals: Analytical Comparative Cross Sectional Study
Extended-spectrum – beta lactamases (ESBLs) are increasingly detected globally among Escherichia coli (E.Coli) and Klebsiella pneumoniae (K.pneumoniae). This study was designed to determine the prevalence and antibiogram...
Evaluation of Adaptogenic Activity of Anacyclus pyrethrum L.in Animal Models
Abstract:Anacyclus pyrethrum L. root is one among the ingredients of polyherbal formulation frequently employed for the treatment of stress by Ayurvedic practioners. So, the objective of this study was to scientifically...
Onychomycosis in Patients Attending in Dermatology Clinics of the City of Rio de Janeiro, Brazil
Abstract:Onychomycoses are fungal infections that affect hands and feet nails and are caused by several genera of filamentous and yeast fungi. The knowledge of the etiology is fundamental to establish the appropriate the...
Bioactive molecules present in Plants play a potential role in the Treatment of Spasticity in Multiple Sclerosis: a new perspective in Future
Abstract: Multiple sclerosis (MS) is a chronic disabling disease of the CNS that affects people during early adulthood. Despite several US FDA-approved medications, the treatment options in MS are limited. Many people wi...