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ORIGINAL ARTICLE
Year : 2014  |  Volume : 4  |  Issue : 1  |  Page : 11-14

Clinicopathological and ultrasonographic correlation of acute appendicitis in emergency: A prospective and retrospective study


1 Department of General Surgery, Government Medical College, Jagdalpur, Chhatisgarh, India
2 Department of General Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharastra, India
3 Department of Community Medicine, Government Medical College, Jagdalpur, Chhatisgarh, India

Correspondence Address:
Rajat K Patra
Department of General Surgery, Government Medical College, Jagdalpur - 494 005, Chhatisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.136703

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Background: Evaluation of Acute Appendicitis needs a well conducted history and physical examination. But major factors contributing to high negative appendectomy rate are non-specificity of clinical findings, lack of readily available techniques allowing direct visualization of appendix. This study evaluated diagnostic accuracies of clinical and ultrasonographic in Acute Appendicitis. Materials and Methods: The study was carried out in the department of surgery, Kasturba Hospital, MGIMS, Sevagram. Total of 38 patients were selected for the study. In the emergency department of surgery thorough clinical assessment, laboratory investigations, ultrasound findings were recorded for each patient. After confirming the diagnosis of Acute Appendicitis the patients had operative intervention and specimens were sent for histopathological study. Results: Acute appendicitis was found more commonly among patients of 20-29 years of age with 37% in prospective and 42.9% in retrospective studies respectively. Modified Alvarado score (MAS) had sensitivity of 47.7% and 59.6%, specificity of 87.5% and 91.6% in both prospective and retrospective studies respectively. Ultrasonographic findings showed sensitivity of 82.1% and 92.7%, specificity of 76.4% and 72.7% in prospective and retrospective studies respectively. Conclusion: When the diagnosis of acute appendicitis is clinically obvious based on strongly positive clinical signs, it can be an indication for operative treatment. However in the cases of equivocal diagnosis Ultrasonography should be used as an adjunct to clinical diagnosis and thereby decreasing the rates of negative laparotomies.


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