DIAGNOSTIC ACCURACY IN ACUTE APPENDICITIS: COMPARISON BETWEEN CLINICAL IMPRESSION AND ULTRASOUND FINDINGS
AbstractA cross-sectional study to determine the diagnostic accuracy of clinical impression and graded compression abdominal ultrasonography in acute appendicitis used individually or complementary to each other was conducted in a busy surgical unit. Eighty-nine cases subjected to categorized clinical impression and ultrasonography preoperatively achieved fairly high sensitivity (84.3% and 81.81% respectively) but low specificity (23.68% and 38.23%) with an overall negative predictive value of 31%, implying it to be a poor indicator to avoid negative appendectomies.
Jess I. Acute appendicitis: epidemiology, diagnostic
accuracy and complications. Scand J Gastroenterology,
; 18: 161-3.
Rehman SJ. Review of acute appendicitis at civil
hospital, Abbottabad. JPMA, 1983; 35 (10): 298-300.
Rathore AH. Ultrasonography in acute appendicitis.
The Professional, 1995; 02 (02): 131-134.
Mufti T. Survey of major surgical operations in Hazara
Division. JAMC, 1989; 2(1): 6-10.
Gilmore OJA, Browett JP, Griffin PH, et al.
Appendicitis and mimicking conditions. Lancet, 1975;
deDombal FT, Leaper DJ, Horrocks J, Staniland JR &
McCann A. Human and computer aided diagnosis of
abdominal pain: further report with emphasis on
performance of clinicians. BMJ, 1974; i: 376-80.
Scarlett PY, Cooke MW, Clarke D, Bates C & Chan M.
Computer aided diagnosis of acute abdominal pain at
Middle Borough General Hospital. Ann R Coll Surg
Engl, 1986; 68: 179-81.
Nauta RJ & Magnant C. Observation versus operation
for abdominal pain in the right lower quadrant. Am J
Surg, 1986; 151: 746-8.
Marchand A, Van Lente F & Galen RS. The assessment
of laboratory tests in the diagnosis of acute
appendicitis. Am J Clin Pathol, 1983; 80: 369-74.
Nordback I & Harju E. Inflammation parameters in the
diagnosis of acute appendicitis. Acta Chir Scand, 1988;
Clifford PC, Chan M & Hewett DJ. The acute
abdomen: management with microcomputer aid. Ann R
Coll Surg Engl, 1986; 68: 182-4.
Lua YM. Negative findings at appendicectomies. Am J
Surg, 1984; 148: 375-378.
Schirmer BD. Laparoscopic versus traditional
appendicectomies for suspected appendicitis. Am J
Surg, 1993; 165(6): 670-5.
Kum CK. The diagnostic laparoscopy: reducing the
number of normal appendicectomies. Dis Colon
Rectum, 1993; 36(8): 763-6.
Grunewald B. Should the normal appendix be removed
at operation for appendicitis. J R Coll Surg Edinb,
; 38(3): 158-60.
Bilby JH, Gibney RG & Cooperberg PL.
Ultrasonography in acute appendicitis. J Canadian
Radiol, 1989; 40: 22-24.
Gaensler EHL, Jeffery JRRB, Liag FC, et al.
Sonography in patients with suspected acute
appendicitis: Value in establishing alternative
diagnosis. Am J Roentgenol, 1989; 152: 49- 51.
Kang WM, Lee CH, Chou YH, et al. A clinical
evaluation of ultrasonography in the diagnosis of acute
appendicitis. Surgery, 1989; 105: 154-59.
Fa EM & Cronan JJ. Compression ultrasonography as
an aid in the differential diagnosis of appendicitis. Surg
Gynaecol Obstet, 1989; 169: 290-97.
Schwerk WB, Wicktrup B & Rothmund M.
Ultrasonography in the diagnosis of acute appendicitis:
A Prospective study. Gastroenterology, 1989; 97: 630-
Ooms HWA, Koumans RKJ, Kang YPJH, et al.
Ultrasonography in the diagnosis of acute appendicitis.
Br J Surg, 1991; 78: 315-18.
Julien BCM & Puylaert MD. A prospective study of
ultrasonography in the diagnosis of appendicitis. N
Engl J Med, 1987; 317: 666-9.
Raymord MA. How to reduce the number of negative
appendicectomies: A prospective two- centre study of
patients? Helr Chir Acta, 1994; 60(4): 647-51.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.