A comparative study of different anatomical position, clinical presentation and USG findings CT scan plain/CECT with operative findings in patients of appendicitis in a rural medical college
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 8, Issue 1
Abstract
Background: The objective was to find out and compare accuracy of USG findings with that of per-operative findings of location and status of appendix, to compare, evaluate and study the signs and symptoms in different varieties of appendicitis, to compare and study pre, per and post op follow up of patients with such different location of appendix undergoing appendicectomy and to study the type of appendicitis responsible for inflammation/infection by histopathological examination of different locations of appendix. Methods: The present study was prospective, observational and longitudinal. Protocol of the procedure was formed along with Performa, Patient Information Sheet and Informed Consent Form. The study was carried out in surgery department of Sri Adichunchanagiri Hospital and Research center Karnataka state from 1st October 2015 till 30th august 2018. A total of 100 cases were subjected to clinical assessment using signs, symptoms and laboratory criteria, histopathology and also the position of the appendix, which were recorded in the proforma. All patients were subjected to ultrasound examination by a qualified radiologist to exclude any other associated pathology and also to confirm the diagnosis. At surgery the Position of the appendix was first identified before disturbing the structures and the position of the appendix. Results: Out of 100 cases, a total of 62 cases presented with clinical features suggestive of retrocaecal appendicitis, out of which 51 had typical presentation and 11 had atypical presentation with overall sensitivity of 72.9%, followed by pelvic position which had a sensitivity of 15.29% in which 8 patients had typical presentation and 5 had atypical presentation. Conclusions: A total of five modalities that were used for the diagnosis of position of appendix and appendicitis, i.e. clinical features, lab Ix, ultrasound, intraoperative findings and histopathology, only 47% of cases all the modalities were positive. So the diagnosis of position of appendix and appendicitis is a combination of all the modalities and not just dependent on one basis.
Authors and Affiliations
C S Hanumanthaiah, V Sharath Kumar, Apoorva R A
Keywords
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- EP ID EP471924
- DOI 10.26611/106813
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