Role of Ultrasonography in Diagnosis of Acute Appendicitis and Its Management at GSL Medical College and Hospital, Rajahmundry.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Acute appendicitis is one of the commonest conditions treated at emergency. Despite of advances in diagnostic medicine and therapeutics, the diagnosis of appendicitis remains essentially clinical, requiring clinical acumen and surgical knowledge. Maximum incidence noted in 2nd to 4th decade of life with male predominance. Recently USG is shown to be effective in the diagnosis. Management varies from conservative to emergency appendicectomy. In this hospital based study comprising 100 patients, admitted to surgical department with a preliminary diagnosis of acute appendicitis, patients of both sexes and all age groups except pregnancy, appendicular mass were included in the study. Out of 100 cases (68 males and 32 females), 78 patients are clinically positive and 86 are ultrasonographically positive, appendicectomy were performed in all cases. Final diagnosis by histopathological report was confirmed in 97 cases. The overall negative appendicectomy rate was 3%. Sensitivity and Specificity of USG found to be 95% and 66% respectively.
Authors and Affiliations
V Veeranadha Reddy, Kodenge Raghavendrarao, malsur banoth, ashrith pakalapati
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