Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
Rizk, M., Elsayaad, I., Shaqueer, M., khereba, W., Mohammed, S. (2021). Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children. EKB Journal Management System, 3(2), 1282-1287. doi: 10.21608/ijma.2021.38601.1170
Mohamed Mahmoud Rizk; Ibrahim Mahmoud Elsayaad; Mostafa Moahmed Mostafa Shaqueer; Walied khereba; Sami Abdullah Mohammed. "Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children". EKB Journal Management System, 3, 2, 2021, 1282-1287. doi: 10.21608/ijma.2021.38601.1170
Rizk, M., Elsayaad, I., Shaqueer, M., khereba, W., Mohammed, S. (2021). 'Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children', EKB Journal Management System, 3(2), pp. 1282-1287. doi: 10.21608/ijma.2021.38601.1170
Rizk, M., Elsayaad, I., Shaqueer, M., khereba, W., Mohammed, S. Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children. EKB Journal Management System, 2021; 3(2): 1282-1287. doi: 10.21608/ijma.2021.38601.1170

Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children

International Journal of Medical Arts
Article 16, Volume 3, Issue 2, April 2021, Page 1282-1287  XML PDF (1.11 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2021.38601.1170
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Authors
Mohamed Mahmoud Rizk email 1; Ibrahim Mahmoud Elsayaadorcid 1; Mostafa Moahmed Mostafa Shaqueerorcid 2; Walied kherebaorcid 3; Sami Abdullah Mohammed4
1Department of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt
2Department of Radiology, Dameitta Faculty of Medicine, Al-Azhar University, Egypt
3Department of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt
4Department of Pathology, Damietta Faculty of Medicine, Al-Azhar University, Egypt
Abstract
Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed.   
The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis.
Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS .
Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score.
Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced.
Keywords
Appendicitis; Modified Alvarado; Ultrasound; Diagnosis; Children
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