Zahid Ahmad and Muhammad Wasif Iqbal

ABSTRACT

Objective: To examine the accuracy and use of ultrasonography and Alvarado score system for diagnosing Acute Appendicitis.

Study Design: Observational / Cross-sectional study

Place and Duration of Study: This study was conducted at the Department of Surgery and Department of Radiology Central Park Teaching Hospital Lahore during from March 2016 to Dec 2016.

Materials and Methods: One hundred and thirty patients of abdominal pain having ages of 10 years to 70 years were included. All patients had diagnosis with Alvarado scoring system and ultrasound for identifying Acute Appendicitis. Patients detailed history, age, sex and histopathology and ultrasonographic results were recorded. Results: Out of 130 patients, 95 (73.08%) patients were men and 35 (26.92%) patients were women. 15 (11.54%) patients were ages less than 20 years, 75 (57.70%) patients having ages between 20 to 39 years, 32 (24.62%) patients were aged between 40 to 59 years and 8 (6.15%) patients were ages of >59 years. Symptoms observed in all patients such as anorexia, nausea and vomiting, tenderness in right iliac fossa, rebound tenderness, elevated temperature as 71.54%, 53.85%, 100%, 95.39% and 84.62% respectively. In all 130 patients 122 (93.85%) had found acute appendicitis by using ultrasound. As per histopathology results 95 % had acute appendicitis and 5 % had chronic or normal appendicitis.

Conclusion: Alvarado Score system along with noninvasive ultrasound guidance resulted accurately and helps to reduce the rate of negative appendectomy, complications and infections with no extra cost. The combine role of Alvarado score and ultrasonography can helps to provide better treatment in acute appendicitis.

Key Words: Alvarado score system, Histopathology findings, Ultrasound results, Appendicitis

Citation of articles: Ahmad Z, Iqbal MW. Determine the Accuracy and Use of Ultrasound Guidance and

Alvarado Score for Diagnosing Acute Appendicitis at Central Park Teaching Hospital Lahore. Med Forum