ULTRASONOGRAPHIC DIAGNOSIS AND GRADING OF ACUTE APPENDICITIS | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 22, Issue 2, April 2003, Page 183-187 PDF (612.45 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2003.374687 | ||||
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| Authors | ||||
| Abdul Karim Al-Zabedi* ; Ahmed Al-Hadrani; Mansour Saif; Osama Al-Thawr; Basoma Saad | ||||
| Departments of Radiology and Surgery, Faculty of Medicine, Military Hospital, Yemen Germany Hospital Sana'a, Yemen Republic | ||||
| Abstract | ||||
| Purpose: To evaluate the role of ultrasound in the diagnosis of acute appendicitis and present ultrasonographic grading for the disease Material and Methods: This is a prospective controlled study of 232 patients with suspected acute appendicitis and 120 controls. All patients and controls underwent ultrasonographic examination, then divided into3 groups : group 1 (=100 patients) who proved surgically that they have acute appendicitis, group 2 (= 132 patients) who proved to have acute abdominal conditions other than appendicitis and group 3 (= 120 controls) Results: In group I the inflamed appendix appeared as hypoechogenic shadow with thick fluid collection inside the lumen. The diameter of the wall of the inflamed appendix was 5 to 35 mm. A diameter more than 6 mm confirmed the diagnosis of acute appendicitis. The US findings seen in patients with acute appendicitis are presented and graded according to the severity. To our knowledge we are the first to present this ultrasonographic grading. In group II and III, the previous ultrasonographic findings were absent and the diameter of the wall of the appendix was between 2 and 4 mm. Conclusion: ultrasonographic findings are useful in confirming the diagnosis of acute appendicitis and a normal ultrasoud exam is more useful in ruling out acute appendicitis. The ultrasonographic criteria can be graded and this grading might be helpful in assessing the severity of the disease. | ||||
| Keywords | ||||
| Ultrasound; Appendicitis; Diagnosis; Grading | ||||
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