Comparison of Modified Alvarado Score with Ultrasonogram in the Diagnosis of Acute Appendicitis at a Tertiary Care Center of Dakshina Kannada
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 4
Abstract
Introduction: Acute appendicitis is one of the commonest emergency presenting at general surgery department calling for an emergency appendectomy either by open laparotomy or laparoscopic technique is performed. Thus a rapid yet accurate diagnosis becomes important to prevent wrong procedure. Objectives: We intend to compare the diagnostic accuracy of Modified Alvarado Score System (MASS) and ultrasound in the diagnosis of acute appendicitis at our institution in Dakshina kannada. Materials and methods: A prospective study was conducted between October 2015 to October 2017 at our institution. 100 patients were included in the study after obtaining an informed consent. A detailed clinical examination was performed following which the clinical finding and laboratory findings including total leucocyte count and differential count were in noted in the patient’s study proforma. Patients were then subjected to ultrasound examination for appendicitis. The radiological findings were also then tabulated. Appendectomy was then performed followed by histopathological examination of the specimen for confirmation of the diagnosis. The histopathological diagnosis of acute appendicitis was considered as positive report and using SPSS software and MEDCALC Software descriptive statistics were calculated for MASS and ultrasound. Results: Out of 100 patients 52 were males and 48 were females. MASS and ultrasound showed sensitivity, specificity, positive predictive value and negative predictive value of 60%, 90%, 98.18%, 20%, 93.3%, 20%, 91.3%, and 25% respectively. Application of Chi-square test showed that MASS had better correlation histopathological finding with a statistically significant p value of 0.000 (< 0.005). Conclusion: Both MASS and Ultrasound examination have a distinct advantage and limitation when used independently. But utilisation of both modalities complementarily serves as a better management strategy in acute appendicitis.
Authors and Affiliations
Kiran T.
Keywords
Related Articles
- EP ID EP548070
- DOI 10.21088/nijs.0976.4747.9418.6
- Views 61
- Downloads 0
New Phase in Gastric Carcinoma Diagnosis: Haematological Biomarkers As Screening Markers
Gastric carcinomas are a commonly encountered malignancy worldwide. In India though the incidence is low as compared to worldwide statistics, it accounts for significant morbidity and mortality. Prognosis remains poor ev...
Preperitoneal Repair of Inguinal Hernias
Surgical management of groin hernias continues to attract the interest of General surgeons as it is the most common surgery performed in surgical practice. Over 80 variants of techniques have been tried; the time tested...
Study of Outcome in Patient of Grade-3 & 4 Liver Injuries in Blunt Abdomen Trauma
Background and Aim: Road traffic accidents are commonest cause resulting Blunt Abdominal trauma. Liver injury is second most common solid organ injury in blunt abdomen trauma after spleen. Latent period,vital status and...
Solitary Thyroid Nodule and its Chances of Being Malignant
Aim: To evaluate the solitary thyroid nodule (STN) cases clinically and pathologically, study the frequency of malignancy and correlating it with FNAC and histopathology. To observe which pathological variant of carcinom...
A Comparative Study between Figure of Eight Suturing Technique and Omentopexy in Closure of Peptic Ulcer Perforationin a Rural Medical College of Karnataka
Background: Figure of 8 techniques has been described in the literature for peptic ulcer perforation repair especially when the patient comes late, when the edges of the ulcer and the wall of duodenum are very friable. M...