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
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