Acute appendicitis: Role of USG and colour Doppler in establishing a preoperative diagnosis
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 3
Abstract
Background: Acute appendicitis is one of the most common clinical diagnoses that comes to mind when a patient presents to the emergency department with acute onset of pain in abdomen. Aims: to evaluate the efficacy and usefulness of USG and color Doppler in the diagnosis of acute appendicitis. Material and Method: This prospective study, involving 78 patients was carried out in the Emergency department and the surgical outpatient department of NIMS university Hospital between October 2012 and October 2013. All the patients suspected of having acute appendicitis, based on history, clinical examination, laboratory investigations and USG of the abdomen. Result: A total of 78 patients underwent abdominal USG and colour Doppler, appendix was visualized in only 51 patients. Findings were positive in 22 patients and negative in 29 patients. Total 23 patients underwent surgery and consequent Histopathological examination, which revealed acute appendicitis in 21 patients. The histopathology specimens of 2 patients were negative for acute appendicitis. Overall 30 patients did not have acute appendicitis. Conclusion: USG can be performed quickly and is relatively easy to correlate the USG findings with the patients’ anatomical site pain. A complete examination of the pelvis and the upper abdomen should be performed followed by “graded compression USG” for the assessment of appendicitis. Diagnosis of acute appendicitis should not be established or excluded solely on the basis of Colour Doppler findings.
Authors and Affiliations
Abhay Setia, Sunil Kumar Agarwal, Gaurav Kumar Nirwal, Ocean Setia
Keywords
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