Laparoscopic study of 25 cases of right iliac fossa pain for false positivity of clinically diagnosed cases of appendicitis
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2017, Vol 3, Issue 7
Abstract
Patients of right iliac fossa pain are always a dilemma for the treating physician or a surgeon. A number of studies have been carried out in devising the modalities of a final diagnosis of acute appendicitis but no matter how much we explore the avenue of right iliac fossa pain, we are always left wanting in arriving at the right diagnosis. Ever since the advent of laparoscopic surgery, the incidence of wrong diagnosis coupled with a comorbid condition has increased many fold. Its towards this problem that the present study was done in 25 cases presenting with right iliac fossa pain and diagnosed as acute appendicitis. All the 25 cases were clinically, biochemically and radiologically diagnosed as the cases of acute appendicitis and were subjected to laparoscopic surgery with a view to confirm the diagnosis and find the rate of false positivity. To our surprise, even with the best of the tools available for making a diagnosis of acute appendicitis , the false positivity rate was significant and alarming , not to say that our study is a paradigm shift in assessing the right iliac fossa pain but it does raise a few important questions.
Authors and Affiliations
*Rakesh Sharma,**Amandeep Kaur, **Sahil Mittal,***N. S. Neki
Keywords
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- EP ID EP569624
- DOI 10.22192/ijcrms.2017.03.07.003
- Views 135
- Downloads 0
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