Acute Appendicitis - A Surgical Emergency: Study on the Histopathology And Scoring Systems on Diagnosis
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Acute appendicitis being a surgical emergency requires proper decision on the behalf of clinicians so as to prevent the complications. Though this is typical, sometimes the explanation of patient is quite challenging, different techniques such as various scoring systems (Alvarado and RIPASA) have been devised to aid the accurate diagnosis. Thus in this study we aimed to study the suspected cases of acute appendicitis and find out the reliability of the scoring systems in association with histopathological analysis of removed appendices with proper diagnosis of appendicitis. We include 65 patients admitted for the suspected case of acute appendicitis. The patients were categorized on different groups based upon Alvarado and RIPASA scoring systems. All the patients underwent surgical removal of appendices which were than analyzed histopathilogically. Based on histopathological analysis and scoring, We found the RIPASA scoring system (86.1%) is more reliable for accurate diagnosis of appendicitis in comparison to Alvarado score (76.9%).
Authors and Affiliations
Pradeep Kumar Nagaich, Atul Tandon, Ramanand Thakur
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