Role of Ultrasound in Diagnosis of Patients with Suspect Appendicitis at Al-Wahda Hospital in Derna City, Libya
DOI:
https://doi.org/10.58987/eg3nej09Keywords:
Ultrasound, Acute Appendicitis, Alvarado ScoreAbstract
The present study is to evaluate the accuracy of uses of Ultrasound in diagnosis patients with suspected appendicitis.This is a prospective cohort study. Ultrasound examinations were done prospectively in patients with suspect acute appendicitis before appendectomy at Alwahda hospital in Derna city, Libya. The results were correlated with each patient’s outcome. Total of 96 patients with Alvarado score from 4 to 7 were underwent USG examination before appendectomy, 40 males and 66 females with mean age of 14.3±8.6years. The ultrasound report had sensitivity 73.7%, specificity 87.5%, PV+96.7% and PV-40%. Overall negative rate of appendectomy was (16/96) 16.6%, however, the negative rate of appendectomy within patients who have positive USG result was (2/61) 3.27%. Use of ultrasonography examination in diagnosis patients with suspected acute appendicitis are very helpful in accuracy diagnosis specially when the result of USG was positive, however, the patients with USG negative result should have more evaluated as we cannot relies on it result only.
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