Migration of Abdominal Pain - An Effective Tool to Identify Appendicitis and the Only Parameter to Screen.
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Date
2020-08
Journal Title
Journal ISSN
Volume Title
Publisher
Akshantala Enterprises Private Limited
Abstract
Acute appendicitis is a common disease. It may be tough to identify even with radiological and laboratory investigations. Migratory pain in the abdomen is a helpful key symptom, provided the patient presents within 24 hours of onset of appendicitis. METHODSPatients clinically presenting as acute appendicitis and operated for appendicectomy were recruited in the study. The presence and absence of migratory pain in the abdomen were evaluated and compared with the histopathology of the appendix. Parameters of diagnostic accuracy were measured. RESULTSThe sensitivity and specificity of migration of abdominal pain was found to be 97 percent and 100 percent respectively. The positive predictive value and the negative predictive value was 100 percent and 94 percent respectively. Overall diagnostic accuracy was 98%. CONCLUSIONSMigratory pain in the abdomen is a significant symptom to identify as well to rule out acute appendicitis.
Description
Keywords
Somatic Pain, Blumberg Sign, Appendectomy, Right Iliac Fossa
Citation
Vaidya Vikram Panjabrao, Lamture Yashwant R., Harshal Ramteke, Mundada Aditya, Gajbhiye Varsha, Yeola Minakshi. Migration of Abdominal Pain - An Effective Tool to Identify Appendicitis and the Only Parameter to Screen.. Journal of Evolution of Medical and Dental Sciences. 2020 Aug; 9(33): 2329-2333