ManageChatDiscover
155055

Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed.   
The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis.
Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS .
Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score.
Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced.

DOI

10.21608/ijma.2021.38601.1170

Keywords

Appendicitis, Modified Alvarado, Ultrasound, Diagnosis, children

Authors

First Name

Mohamed

Last Name

Rizk

MiddleName

Mahmoud

Affiliation

Department of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

drrizk13@domazhermedicine.edu.eg

City

Bani Obied

Orcid

-

First Name

Ibrahim

Last Name

Elsayaad

MiddleName

Mahmoud

Affiliation

Department of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.elsayaad@outlook.com

City

Damietta

Orcid

0000-0002-0881-5744

First Name

Mostafa Moahmed Mostafa

Last Name

Shaqueer

MiddleName

-

Affiliation

Department of Radiology, Dameitta Faculty of Medicine, Al-Azhar University, Egypt

Email

mshakweer1@domazhermedicine.edu.eg

City

Gharbia

Orcid

2974077209316470

First Name

Walied

Last Name

khereba

MiddleName

-

Affiliation

Department of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

wkhereba@yahoo.com

City

-

Orcid

-

First Name

Sami

Last Name

Mohammed

MiddleName

Abdullah

Affiliation

Department of Pathology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

drsamy31@gmail.com

City

new dameitta

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2020-09-14

Publish Date

2021-04-01

Page Start

1,282

Page End

1,287

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1282-1287.pdf

PDF . 1.2MB

Link

https://ijma.journals.ekb.eg/article_155055.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=155055

Order

16

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children

Details

Type

Article

Created At

22 Jan 2023