Ultrasound Evaluation of Appendicular Pathologies

The objective of the study was to evaluate the role of ultrasound in evaluation of appendix and to correlate with surgical and histo-pathological findings. This is a prospective study and was carried out between February 2014 to July 2014 at the Department of Radiology, P.D.U. Govt. Medical College and civil hospital, Rajkot. Abdominal ultrasound & Doppler study with clinical & pathological correlation of 80 cases was done for diagnosing pathologies involving appendix accurately. Out of 80 patients diagnosed by ultrasound, the most common pathologies seen in our study were-acute appendicitis, lump formation, perforation, mucocele and carcinoid. The diagnosis given on ultrasound was confirmed on per-op & histo-pathological findings. Ultrasound is useful in the diagnosis of appendicitis and should suffice as the modality of choice whenever the appendix is identified. The decision to perform appendectomy or to treat a patient conservatively should be made in association with clinical findings.