Evaluation of Clinical Alvarado Scoring System and CT Criteria in the Diagnosis of Acute Appendicitis

Joint Authors

Hekimoğlu, Baki
Akinci, Melih
Yilmaz, Kerim Bora
Sahin, Alpaslan
Tatar, Idil Güneş
Aydin, Hasan

Source

Radiology Research and Practice

Issue

Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2016-05-03

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Medicine

Abstract EN

Aim.

The aim was to evaluate the clinical Alvarado scoring system and computed tomography (CT) criteria for the diagnosis of acute appendicitis.

Material and Methods.

117 patients with acute abdominal pain who underwent abdominal CT were enrolled in this retrospective study.

Patient demographics, clinical Alvarado scoring, CT images, and pathologic results of the patients were evaluated.

Results.

39 of the 53 patients who were operated on had pathologically proven acute appendicitis.

CT criteria of appendiceal diameter, presence of periappendiceal inflammation, fluid, appendicolith, and white blood cell (WBC) count were significantly correlated with the inflammation of the appendix.

The best cut-off value for appendiceal diameter was 6.5 mm.

The correlation between appendiceal diameter and WBC count was 80% (P=0.01<0.05).

The correlation between appendiceal diameter and Alvarado score was 78.7% (P=0.01<0.05).

Conclusion.

Presence of CT criteria of appendiceal diameter above 6.5 mm, periappendiceal inflammation, fluid, and appendicolith should prompt the diagnosis of acute appendicitis.

Since patients with acute appendicitis may not always show the typical signs and symptoms, CT is a helpful imaging modality for patients with relatively low Alvarado score and leukocytosis and when physical examination is confusing.

American Psychological Association (APA)

Tatar, Idil Güneş& Yilmaz, Kerim Bora& Sahin, Alpaslan& Aydin, Hasan& Akinci, Melih& Hekimoğlu, Baki. 2016. Evaluation of Clinical Alvarado Scoring System and CT Criteria in the Diagnosis of Acute Appendicitis. Radiology Research and Practice،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1115730

Modern Language Association (MLA)

Tatar, Idil Güneş…[et al.]. Evaluation of Clinical Alvarado Scoring System and CT Criteria in the Diagnosis of Acute Appendicitis. Radiology Research and Practice No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1115730

American Medical Association (AMA)

Tatar, Idil Güneş& Yilmaz, Kerim Bora& Sahin, Alpaslan& Aydin, Hasan& Akinci, Melih& Hekimoğlu, Baki. Evaluation of Clinical Alvarado Scoring System and CT Criteria in the Diagnosis of Acute Appendicitis. Radiology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1115730

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1115730