Accuracy of ultrasonography in diagnosing acute appendicitis during pregnancy based on surgical findings

نویسندگان

  • Alireza Kazemini Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
  • Amir Keshvari Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
  • Ata Rahnemai-Azar Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
  • Siavash Khaki Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
چکیده مقاله:

Background: Acute appendicitis is the most common nonobstetric surgical problem in pregnancy. Common signs and symptoms of appendicitis are less reliable during pregnancy due to physiological changes; thus, the role of imaging becomes prominent. Thus, in the present study, we aimed at assessing the accuracy of sonography in diagnosing acute appendicitis during pregnancy.    Methods: In this prospective analytic study, among 1000 patients diagnosed and treated as acute appendicitis, clinical and sonographic findings of 58 consecutive pregnant patients, who underwent appendectomy, were recorded and analyzed. All surgically resected samples were evaluated and confirmed through histological evaluation. Sonographic criteria were utilized to judge the results for appendicitis. Diagnostic test performance characteristics (sensitivity, specificity, predictive values, and likelihood ratios) were calculated.    Results: The mean age of the patients was 27.1±4.9 years, and the most common clinical symptom was right lower quadrant pain. There was no significant difference in the mean leukocyte count between the appendicitis group and normal appendix group (p=0.768). Left shift was also unrelated with the appendix pathology (p= 0.549). The sensitivity, specificity, predictive values (positive and negative), and likelihood ratios (positive and negative) were 80%, 75%, 91.4%, 52.9%, 3.2, and 0.26, respectively during all trimesters of pregnancy.    Conclusion: Ultrasonography is the initially preferred imaging modality in pregnant women suspected of having acute appendicitis with an acceptable sensitivity; however, application of other imaging modalities such as CT scan or MRI is recommended after inconclusive ultrasonography results.  

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Accuracy of ultrasonography in diagnosing acute appendicitis during pregnancy based on surgical findings

Background: Acute appendicitis is the most common nonobstetric surgical problem in pregnancy. Common signs and symptoms of appendicitis are less reliable during pregnancy due to physiological changes; thus, the role of imaging becomes prominent. Thus, in the present study, we aimed at assessing the accuracy of sonography in diagnosing acute appendicitis during pregnancy. Methods: In this prospe...

متن کامل

Accuracy of Ultrasonography in Diagnosing Acute Appendicitis.

OBJECTIVES To evaluate the accuracy of sonography in diagnosing acute appendicitis in patients with Alvarado score 4-7. METHODS This is a retrospective cross-sectional study being performed in Namazee hospital affiliated with Shiraz University of Medical sciences during a one year period from 9/2007 to 9/2008. We evaluated all patients with Alvarado score 4-7 and divided them in two groups: t...

متن کامل

accuracy of ultrasonography in diagnosing acute appendicitis

o bjectives: to evaluate the accuracy of sonography in diagnosing acute appendicitis in patients with alvarado score 4–7. m e thods: this is a retrospective cross-sectional study being performed in namazee hospital affiliated with shiraz university of medical sciences during a one year period from 9/2007 to 9/2008. we evaluated all patients with alvarado score 4-7 and divided them in two groups...

متن کامل

[Reliability of ultrasonography for diagnosing acute appendicitis].

BACKGROUND Abdominal ultrasonography (US) is the most commonly used diagnostic tool for diagnosing acute appendicitis, which is one of the most common causes of acute surgical abdomen. In this study, we examined the reliability of US for diagnosing acute appendicitis. METHODS In this prospective study, we performed abdominal US on 235 patients admitted to our surgical emergency department dur...

متن کامل

Diagnostic accuracy of ultrasonography in acute appendicitis.

BACKGROUND The diagnosis of acute appendicitis is mainly clinical and to augment the clinical diagnosis ultrasonography and Computerized Tomographic Scan of the abdomen are also being used to help in diagnosis of the disease; which all carry some inherent limitations. This study was done to establish diagnostic accuracy of Ultrasonography (USG) in acute appendicitis taking histopathology of rem...

متن کامل

Diagnosing acute appendicitis: is there any role of ultrasonography?

We read with interest the article titled ‘‘Examining the Relevance of the Physician’s Clinical Assessment and the Reliance on Computed Tomography in Diagnosing Acute Appendicitis’’ by Nelson et al in the April 2013 issue of the American Journal of Surgery. The study highlights the importance of clinical decision making as well the role of computed tomography (CT) in the diagnosis and management...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 31  شماره 1

صفحات  278- 282

تاریخ انتشار 2017-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023