Acute Appendicitis Case Study

Acute Appendicitis Case Study

The common cause of acute abdomen is acute appendicitis and the reason for abdominal surgeries. Its diagnosis is still a big challenge because of many other condition similar to the acute appendicitis like renal colic, colitis, adenitis etc. Primary imaging modality for the acute abdominal pain in pediatric age group is a plain x–rays of the abdomen, followed by ultrasound. Further imaging depends on the results of these studies (17) . The normal appendix could be visualized with graded–compression sonography, and need to be differentiate between normal and abnormal appendix (21,23,24,25). Although CT– scan has more accuracy in diagnosis and management of acute appendicitis. Ct scan is preferably done in obese patients and in those with marked abdominal tenderness who cannot tolerate the graded–compression technique. , but due to high ionizing radiation and risk of cancer especially in pediatric age group most clinicians prefer U/S as a first line of investigation to avoid unnecessary radiation. Unfortunately, its poor sensitivity in comparison to CT does not allow it to be utilized as a good "rule out" diagnostic tool, if the ultrasound result is not positive for ... Show more content on Helpwriting.net ...While the range of reported accuracy (82% to 96%) for US in children has been acceptable, the sensitivity (44% to 100%) and the specificity (47% to 99%) have varied considerably; also, the visualization rates vary widely in the published literature, from a low of 22% to a high of 98% (6). From 98 patients that had appendicitis, ultrasound results were in favor of appendicitis in 63 patients (64.3%) and were suspicious for appendicitis in 14 patients (14.3%). Twenty One patients had normal study (21.4%) (

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