The Use of Ultrasonography in the Diagnosis of Ambiguous Cases of Appendicitis in Adults

• Authors: Grzegorz Bielaczyc , Grzegorz Krasowski , Dariusz Sokołowski , Andrzej Tukiendorf
• Languages of publication: EN

Abstracts

EN

Appendicitis inflicts diagnostic difficulties, particularly in ambiguous morbid symptoms defined in the scale ALVARDO in the section 4-6 pt.The aim of the study was the comparison of the diagnostic values of the classic method of recognizing appendicitis and those improved by ultrasonographic examination.Material and methods. Patients were classified in this investigation according to symptoms from the section compartment 4-6 pt of the ALVARADO scale. Qualification for the treatment was determined according to the medical investigation and laboratory examinations. Ultrasonography (US) was executed in all patients with the aim of the evaluation of the appendix. The percentage of correct recognitions by means of the classic diagnostics was compared to the percentage determined with the aid of US.Results. It was affirmed that in ambiguous clinical cases of appendicitis, the addition of US to the traditional investigational diagnostics improoves the percentage of correct recognitions of appendicitis from 62.8% to 86.2% (p<0.01).Conclusion. With the US supplementing the classic diagnostics, the percentage of correct recognitions of appendicitis enlarges in adult patients with the suspicion of appendicitis with so-called "grey zone" symptoms comprised in the scoring 4-6 pt of the ALVARADO scale.

Keywords

EN

vermiform appendix; ultrasonography

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2007
• Volume: 79
• Issue: 10
• Pages: 629-634

Dates

published

1 - 10 - 2007

online

11 - 2 - 2008

Contributors

author

Grzegorz Bielaczyc

• Department of General, Vascular and Endocrinology Surgery, Provincial Hospital, Opole

author

Grzegorz Krasowski

• Faculty of Physical Education and Physiotherapy, University of Technology, Opole

author

Dariusz Sokołowski

• Department of General, Vascular and Endocrinology Surgery, Provincial Hospital, Opole

author

Andrzej Tukiendorf

• Faculty of Physical Education and Physiotherapy, University of Technology, Opole

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Identifiers

DOI

10.2478/v10035-007-0098-3