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390692

Accuracy of Ultrasonography in Diagnosing Acute Appendicitis

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Last updated: 24 Dec 2024

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Abstract

 Introduction: Appendicitis is inflammation of the appendix, a small, tubular organ in the right lower abdomen that is attached to the large intestine. Aim: To evaluate the accuracy of sonography in diagnosing acute appendicitis in patients with Alvarado score 4–7. Methods: This is a retrospective cross-sectional study. Setting: this study performed in Al-Emam Al-Sadeq Teaching hospital during a one-year period from 1/2023 to 1/2024. Sample: Patients with Alvarado score 4-7 and divided them in two groups: those with Ultrasound study prior to surgery (group A) and those without any imaging modalities for diagnosis of AA (group B). The demographic information, histopathology, physical examination, laboratory data, sonography report and histopathological reports of patients were gathered. Results: A total of 100 patients had Alvarado scores 4-7 including 58 males and 42 females. 50 patients did not have any imaging and 50 had undergone sonography before operation. Ultrasound had overall sensitivity of 62 %, specificity 80 %, PPV 88 %, NPV 48% and accuracy of 69 %. Negative appendectomy rate was 12 % in group A and 48 % in those group B, with a higher rate in females. Conclusion: Ultrasound is more useful when the patient is female, and has 78.9% specificity; however, it is not reliable when the result is negative and maybe other accessory modalities such as CT scan are required for a more accurate diagnosis. Recommendations: Modified Alvarado score" plus ultrasound as a method of choice for diagnosing appendicitis. Modified Alvarado score is the Alvarado score missing the shift of left of leukocytes, Health education program about early detection of appendicitis and Ongoing research about Ultrasonography in Diagnosing Acute Appendicitis

DOI

10.21608/ejhc.2024.390692

Keywords

acute appendicitis, Ultrasound, Alvarado Score, sonography

Authors

First Name

Hussein

Last Name

Safaa Abdulameer Alhassany

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Affiliation

Anesthesia Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq.

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First Name

Shaymaa

Last Name

Adil khudhair alkarosh

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Affiliation

Medical Laboratory Techniques Department, College of Health and Medical technique, Al-Mustaqbal University, Babylon,51001, Iraq.

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First Name

Amasee

Last Name

Falah Jabbar

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Affiliation

Anesthesia Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq.

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First Name

Ruaa

Last Name

Nashat Al-saffarand

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Affiliation

Anesthesia Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq.

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Orcid

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First Name

Zainab

Last Name

Abbas Mailk

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Anesthesia Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq.

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First Name

Zahraa

Last Name

Haleem Al-qaim

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Affiliation

Anesthesia Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq.

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First Name

Alaa

Last Name

Mohammad Alghurab

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Affiliation

Optics Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq.

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Orcid

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First Name

Rania

Last Name

Abd Elmohsen Abo El nour

MiddleName

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Affiliation

Anesthesia Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, 51001, Babylon, Iraq. & Community Health Nursing Department, Beni-Suef Health Technical Institute, Ministry of Health, Beni-Suef 62511, Egypt

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Volume

15

Article Issue

4

Related Issue

50760

Issue Date

2024-12-01

Receive Date

2024-11-05

Publish Date

2024-12-01

Page Start

663

Page End

668

Print ISSN

1687-9546

Online ISSN

3009-6766

Article File

EJHC_Volume 15_Issue 4_Pages 663-668.pdf

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https://ejhc.journals.ekb.eg/article_390692.html

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https://ejhc.journals.ekb.eg/service?article_code=390692

Order

390,692

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Accuracy of Ultrasonography in Diagnosing Acute Appendicitis

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Article

Created At

24 Dec 2024