Role of Ultrasonography in Diagnosis of Appendicitis and Its Correlation with Age (original) (raw)
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International Surgery Journal
Background: Appendicitis is notorious in its ability to simulate other conditions and in the frequency, it can be mimicked by other pathologies. The purpose of this study was to evaluate the accuracy of the diagnostic approach incorporating modified Alvarado score system (MASS) and ultrasonography with clinical findings. The aim of the study was to observe and evaluate different modalities of determining appendicitis among the non-pregnant female population of reproductive ageMethods: This prospective descriptive study was conducted at the department of surgery, Rajshahi College and Hospital, Rajshahi, Bangladesh. The study duration was 6 months, from February 2013 to July 2013. The study was conducted with a total of 101 women who were of reproductive age, presenting with right lower quadrant pain, who went through appendicectomy during the study period.Results: The incidence of negative appendicectomy was 4.95% in this study. Most of the patients having appendicitis were in second...
Outcome of diagnosed cases of appendicitis and diagnostic accuracy of ultrasound of the appendix
Journal of Gandaki Medical College-Nepal, 2020
Background: Acute appendicitis is the most common condition requiring an emergency ultrasound scan as well as surgery. Several scoring systems for acute appendicitis has been suggested to improve diagnostic accuracy and decrease the negative appendectomy rate. In this study, we have evaluated the diagnostic performance of ultrasound on the diagnosis of acute appendicitis, other appendicular pathology, and correlate with surgical outcome. Material and methods: This retrospective study included 776 cases of ultrasound scan reports in which the appendix was visualized and not visualized or equivocal. Data were collected from October 2014 to April 2019 from different department and wards of Gandaki Medical College Teaching Hospital and Research Center (GMCTHRC). All the cases with diagnosed acute appendicitis, appendicular lump, and appendicular abscess were included and were followed for its surgical outcome. The surgical note or post-operative findings served as the reference standard...
International Journal of ChemTech Research
Introduction: Appendicitis is the most common cause of surgery in children in the emergency unit. Diagnosis of appendicitis in children is difficult, the diagnosis of appendicitis is based on clinical symptoms, physical examination, laboratory and investigation, namely radiological imaging, To help in establishing a diagnosis of acute appendicitis in children, there is a scoring system that has been proposed and until now the one used is the Pediatric Appendicitis Score (PAS), Ultrasound is the most commonly used diagnostic procedure because it does not cause pain in its use and the results can be known directly. Method:This study is a prospective analytical study with cross sectional design to see the relationship between the results of the Pediatric Appendicitis Score (PAS) with the results of Ultrasound (USG) preoperative appendix in children. The target population is pediatric patients with complaints of abdominal pain and clinically diagnosed appendicitis. Affordable population was pediatric patients with complaints of abdominal pain and appendicitis diagnosed with treatment at General Hospital Haji. Adam Malik and USU Hospital in Medan.Data will be analyzed descriptively to see the frequency distribution of research subjects based on the characteristics and types of appendicitis using the Chi square test, the results are significant with a significance value of <0.05. Result:Majority of the study samples were 19 women (57.6%) with a median age of 13 years. The results of the PAS calculation showed that 63.5% entered into the simple category while the USG results of 84.8% stated suggestive of appendicitis. There is not significant relationship between PAS with ultrasound examination results with p> 0.05, p = 0.076. Conclusion: We have shown patients of appendicitis by using Ultrasonography and compared it with PAS the final result, there is no significant value, we conclude that USG and PAS could be the main tools for diagnostic but there is no relatonship between USG and PAS.
Characterization of Patients with Acute Appendicitis in the Elderly
Biomedical Journal of Scientific & Technical Research
In recent years, acute appendicitis is presented more frequently in geriatric age due to increased life expectancy and is associated with a higher incidence of perforation and high mortality. Objective: To characterize the behavior of acute appendicitis in the elderly at "Enrique Cabrera" Hospital over a period of ten years. Methods: a retrospective descriptive study was carried out by reviewing 114 medical records of patients over 60 years of age treated at "Enrique Cabrera" Hospital, who underwent an urgent surgical intervention for acute appendicitis, during the period from January 2011 and December 2020. The most important variables analyzed were age, sex, clinical picture, operative finding, complications and biopsy reports. Results: The age group between 60 and 69 years, male sex, predominated. Typical abdominal pain prevailed over atypical. The most frequent operative finding was uncomplicated acute appendicitis. Surgical site infection was the most common complication. There was a satisfactory response in all the operated patients. Conclusions: Patients older than 60 years operated by Acute appendicitis were predominant in males between 60 and 69 years of age, with typical abdominal pain and classic signs of appendicitis. illness. The suppuration phase of the appendix. A favorable evolution of the patients was observed operated. and 21.3% in 2020. In 2025, Cuba will be the oldest country in
Appendicitis in Elderly-Not a Usual Form of Appendicitis
2019
Acute appendicitis tends to have a more complicated course in advanced age, being associated with higher risk of complications. In the elderly population, however, the presentation may be atypical and cause a diagnostic delay, this can be explained by physiological changes in the elderly, such as decreased immune response, bowel function and pain perception. A misdiagnosis occurs in about half of the patients and almost 25% of the patients requires more than 24 hours to receive the correct diagnosis, increasing the risk for perforation which rises to 70% in these subjects. The acute appendicitis must be considered in the differential diagnosis evaluation for abdominal pain in elderly, in order to reduce morbidity and mortality.
Elderly versus young patients with appendicitis 3 years experience
Alexandria Journal of Medicine, 2012
Background: Appendicitis in the elderly continues to be a challenging surgical problem. Patients continued to present late with atypical presentations. Results might improve with earlier consideration of the diagnosis in elderly patients with abdominal pain, followed by prompt surgical operation. We aimed to present our experience with a series of elderly patients with acute appendicitis who were subjected to appendectomy to find out the difference in the course and outcome of acute appendicitis in elderly patients. Patients and methods: We reviewed medical records of elderly patients (aged > 60 years) who underwent appendectomy for acute appendicitis at our hospital. Variables selected for analysis included age, sex, presenting symptoms, operative approach, operative findings, duration of hospitalization. Patients were compared to a control group, less than 31 years admitted during the same period. Results: Twenty-three patients' records aged > 60 years with acute appendicitis were compared to a group of 40 patients aged < 30 years. There were significant differences between the two groups with regard to duration of symptoms preoperative hospital stay and total hospital stay. All young patients group had an uneventful postoperative recovery only two cases (5%) had wound infection. There was one death in the elderly group thus mortality rate was 4.3%. These two groups of patients showed significant differences in relation to the stage of disease at operation and postoperative complications. Elderly group of patients had perforated appendix in 16 cases (69.5%) while in group II patients eight cases (20%) had perforated appendix.
Incidence of Acute Nonperforated and Perforated Appendicitis: Age-specific and Sex-specific Analysis
World Journal of Surgery, 1997
This prospective study was performed to investigate epidemiological characteristics in terms of the age-and sex-specific incidence in patients with perforated and nonperforated appendicitis. The study population comprised 1486 consecutive patients who underwent appendectomy for suspected acute appendicitis between 1989 and 1993. Two patient cohorts [n ؍ 544 (37%)] were analyzed with regard to prehospitalization duration of symptoms and in-hospital observation time. The crude incidence of acute appendicitis was 86 per 100,000 per year. Although the incidence of nonperforated appendicitis was highest among adolescents and young adults (13-40 years of age), perforated appendicitis occurred at almost the same incidence in all sex and age groups. The diagnostic accuracy was 76%. Perforated appendicitis occurred in 19%, with higher rates in small children and the elderly, irrespective of gender. A high diagnostic accuracy was not associated with an increased rate of perforation. In small children and the elderly, the diagnostic accuracy was low and the perforation rate high. Patients with perforation had a significantly longer duration of symptoms as well as in-hospital observation time than did patients with nonperforated appendicitis. Perforated appendicitis showed a different incidence pattern than nonperforated appendicitis and was associated with a significantly longer duration of symptoms and in-hospital observation time, probably due to patientrelated factors. We suggest this observation deserves attention regarding clinical diagnosis and treatment decision-making for patients with suspected acute appendicitis.
2015
Sonographically visualising the normal appendix precludes unnecessary examination and may reduce negative appendectomy rates. In addition, the appendix cannot always be displayed successfully with ultrasonography (US). In this study, we aimed to investigate the effects of age, sex, and body mass index (BMI) on the detection of a normally vermiform appendix by US. The study included 173 patients who applied for routine US examinations with no clinical findings of appendicitis. Age, BMI (only in adult patients), and gender were recorded. We searched for the appendix in each patient using both tissue harmonic imaging (THI) and conventional US after the routine US examinations. When the appendix was found, localisation and diameter were recorded. The two methods were compared in all patients, and the relation between the rate of visualisation and BMI was determined. The appendix was found in 59% of the patients: 50% of women, 41% of men, and 93% of children. Statistically, the detection...
2020
Considering the high prevalence of appendicitis as well as the fact that the most common surgery is abdominal, wrong diagnosis might have irreparable consequences including patient's mortality. The goal of the present research was to examine patients who had appendectomy surgery after a medical diagnosis of appendicitis. This study was a retrospective descriptive-analytic research. The target population included all the medical files of patients who had visited Shahid Mohammadi hospital of Bandar Abbas once they felt an acute abdominal pain which was later diagnosed as appendicitis. Therefore, they had an appendectomy surgery. Their age ranged between 2 to 82 years. The data were analyzed using SPSS 15. Moreover, Chisquared test as well as Pearson correlation coefficient was used to analyze the correlation of qualitative variables. In this study, the medical files of 250 patients suffering from appendicitis were analyzed. 164 of them were male (65.6%) and 86 were female (34.4%)...
International Journal of Public Health Science (IJPHS), 2023
Appendicitis is one of the most common abdominal inflammations in daily emergency cases. The diagnosis of appendicitis is often delayed because the symptoms resemble other abdominal emergencies. The present research aimed to describe the clinical and epidemiological profile of acute appendicitis patients. The research design is a cohort retrospective study employing appendicitis patients' medical record data at PKU Muhammadiyah Hospital from January 1, 2016, to December 31, 2020. The variables obtained through the patient records were age, gender, domicile location, vital signs, physical examination, blood laboratory, ultrasound, histopathology, postoperative diagnosis, the incidence of peritonitis, and length of stay. The median age value in patients with appendicitis was 27 years (0-95), and the largest group was young adults (19-44 years). Abdominal pain was found in almost all research subjects. The median of leukocytes was 10.1 (3.32-65.80)×10 6/ ml and the neutrophil-lymphocyte ratio (NLR) was 3.52 (0.47-30.57)/µl. The median percentage of the neutrophil count was 70.7 (27.90-94.81). The final diagnosis of complicated appendicitis was more than uncomplicated appendicitis (51.2% vs. 48.8%). We conclude that several detailed parameters, such as the location of abdominal pain, leukocyte count, and NLR can help the physician diagnose appendicitis and guide surgeons in deciding the type of surgery.