Sonographic and histopathological correlation of Alvarado score in the diagnosis of acute appendicitis in Mid-western region of Nepal.
- Department of Radiology and Imaging, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal.
- Department of Pathology, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal.
- Department of Radiology and Imaging, Manipal College of Medical Sciences, Pokhara, Kaski, Nepal.
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Abstract
Aim: To evaluate the sonographic and histopathological correlation of Alvarado scoring system in the diagnosis of acute appendicitis.
Materials and Methods:
A retrospective search of the pathological database was performed for cases operated with a diagnosis of acute appendicitis. Inclusion criteria included a) patient age > 11 years of age b) no previous similar symptoms in the past c) no past surgical history within a period of 6 months d) cases with Alvarado scoring. Cases with incomplete clinico-radiological information and those treated prior to admission were excluded.
Results:
Of the total 362 cases, majority were males (54.69 %). The sensitivity of ultrasound in diagnosing acute appendicitis in patients with Alvarado score > 7 was 96.67 % which decreased to 79.14 % in those with a score of ? 7. The overall negative appendectomy rate was 11.87 %.
Conclusion:
Alvarado score in conjunction with ultrasound is significant in decreasing the negative appendectomy rate in acute appendicitis.
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How to Cite This Article
Prasanna Ghimire, Pragya Gautam Ghimire, Prakash Sharma (2015); Sonographic and histopathological correlation of Alvarado score in the diagnosis of acute appendicitis in Mid-western region of Nepal., Int. J. of Adv. Res., 3 (11), 125-112, ISSN 2320-5407.
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