VARIABLE PRESENTATIONS OF ACUTE APPENDICITIS

Abstract

Bonigala Pratap Kumar1, Sathakathulla Ahamed Varusai2

BACKGROUND
Acute appendicitis is the commonest cause of pain in all age groups, which if not diagnosed and treated can lead to perforation and peritonitis. So early diagnosis and prompt treatment can reduce morbidity and mortality.
Objective- To evaluate the advantage of ultrasound in variable positions and presentation of acute appendicitis.
MATERIALS AND METHODS
We have done ultrasound scanning in 50 patients who presented with pain abdomen. CT evaluation is also done in cases with complications of appendicitis like perforation of appendix and peritonitis.
RESULTS
Ultrasound has a sensitivity of 96% and specificity of 93% in the diagnosis of acute appendicitis.
CONCLUSION
High resolution real time ultrasound with graded compression is a sensitive and specific imaging method for the diagnosis of acute appendicitis and its complications.
KEYWORDS
Acute Appendicitis, Ultrasound, Variable Presentations and Position of Appendix.

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