Ultrasonogram in Acute Appendicitis, A Surgeon’s Perspective: Original Article

Introduction: The diagnosis of acute appendicitis has essentially been clinical, but USG abdomen has been said to be highly accurate in diagnosing AA. The surgeon’s perspective may not always be the same. Materialsand methods: Appendectomy data of 106 patients from two hospitals of Kangra region was retrospectively analysed. The data was collected for age, sex, initial pre-operative diagnosis, USG findings, intra-operative findings, Histo-pathological examination (HPE) report, post operative hospital stay. Observations:It revealed a sensitivity of about 54% and specificity of 100% for diagnosing AA with the help of USG abdomen. AA was seen most commonly in males as compared to females. Mean age of presentation was 29.34 +/-14.4 years. Mean hospital stay was 3.68 +/-2.25 days. Most common initial preoperative diagnosis was AA (84%). Most common position of the appendix during surgery was retrocecal (53.7%). HPE report revealed AA in 105 patients. Conclusion:USG abdomen is often falsely assuring, leading to unnecessary delay in effectively managing a patient of AA further leading to increased complications. Only the clinically equivocal cases require further radiological investigations where CECT abdomen is the preferred investigation, but it should be used judiciously.

Keywords

Acute appendicitis, alvarado score, appendicular lump, graded compression ultrasonogram

Citation

Verma Amar, Chaudhary Rajesh, Bharti Ramesh, Sharma Kulbhushan, Sharma Rajesh, Sharma Vikrant. Ultrasonogram in Acute Appendicitis, A Surgeon’s Perspective: Original Article. Journal of Advances in Medicine and Medical Research. 2020 May; 32(6): 118-125

URI

https://imsear.searo.who.int/handle/123456789/210371

Collections

Journal of Advances in Medicine and Medical Research

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