Ultrasonography for suspected acute appendicitis : radiopathological study

Abstract EN

Background : Acute appendicitis is one of the commonest surgical emergencies.

Simple appendicitis can progress to perforation, which is associated with a much higher morbidity and mortality, and surgeons have therefore been inclined to operate when the diagnosis is probable rather than wait until it is certain.

1in this study we asses the role of ultrasonography in adition to clinical and laboratory data to reach the final diagnosis of acute appendicitis.

Patients and methods : in this combined retrospective and prospective study to 75 patients who referred to surgical service.

A complete clinical history, physical examination, WBC count, neutrophils count, and ultrasonography.

A histopathological correlation done for 57 cases undergo surgical operation.

Results : for 57 cases of acute appendicitis most patients was between 11-30 years old ( 59.65), male : female ratio was 1 : 1.5, most common symptoms was abdominal pain present in all cases.

The sensitivity of ultrasonographic examination was 94.7 %, specificity was 88.9 % and accuracy was 93.3 %.

leukocytes count was ≥ 10 x 109 in 43 (75.43 %) of acute appendicitis cases, and the neutrophil count ≥ 75 % in 34 (59.64 %) of acute appendicitis ccases.

Conclusion : ultrasonography is an accurate procedure that leads to prompt diagnosis and early treatment of many cases of appendicitis.