The Role of Ultrasound and CT in Diagnosis of Acute Appendicitis & Its Impact on The Surgical Outcome
Abd ElFatah, M., Khattab, M., Ibrahim, M., Desoukey, S., Hanna, A., Grace, M. (2022). The Role of Ultrasound and CT in Diagnosis of Acute Appendicitis & Its Impact on The Surgical Outcome. EKB Journal Management System, 89(2), 6859-6866. doi: 10.21608/ejhm.2022.271902
Marwa Shaker Abd ElFatah; Mohamed Hamdy Khattab; Marina Ishac Iskandar Ibrahim; Shimaa H. I. Desoukey; Amir Hanna; Marie Nader Grace. "The Role of Ultrasound and CT in Diagnosis of Acute Appendicitis & Its Impact on The Surgical Outcome". EKB Journal Management System, 89, 2, 2022, 6859-6866. doi: 10.21608/ejhm.2022.271902
Abd ElFatah, M., Khattab, M., Ibrahim, M., Desoukey, S., Hanna, A., Grace, M. (2022). 'The Role of Ultrasound and CT in Diagnosis of Acute Appendicitis & Its Impact on The Surgical Outcome', EKB Journal Management System, 89(2), pp. 6859-6866. doi: 10.21608/ejhm.2022.271902
Abd ElFatah, M., Khattab, M., Ibrahim, M., Desoukey, S., Hanna, A., Grace, M. The Role of Ultrasound and CT in Diagnosis of Acute Appendicitis & Its Impact on The Surgical Outcome. EKB Journal Management System, 2022; 89(2): 6859-6866. doi: 10.21608/ejhm.2022.271902

The Role of Ultrasound and CT in Diagnosis of Acute Appendicitis & Its Impact on The Surgical Outcome

The Egyptian Journal of Hospital Medicine
Article 117, Volume 89, Issue 2, October 2022, Page 6859-6866  XML PDF (459.79 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.271902
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Authors
Marwa Shaker Abd ElFatah; Mohamed Hamdy Khattab; Marina Ishac Iskandar Ibrahim; Shimaa H. I. Desoukey; Amir Hanna; Marie Nader Grace
Abstract
Background: The emergency room's most dependable and accessible diagnostic imaging tools for detecting appendicitis early and averting catastrophic complications by ultrasound (US) computed tomography (CT) imaging.
Objective: To evaluate the role of ultrasound and CT in the diagnosis of acute appendicitis and their impact on surgical outcomes.
Patients and Methods: This study was carried out as a prospective cross-sectional in collaboration between Surgery and Radiology Departments, Faculty of Medicine, Cairo University, Cairo, Egypt. We included 45 patients who were presented by symptoms of acute appendicitis, examined by pelvi-abdominal US then contract enhanced CT. The results of both Ultrasound and CT were correlated with the surgical outcome aiming of the study for diagnosis of acute appendicitis.
Results: A total of 45 patients were included in the final analysis of our cohort research. The average age of the patients was 25 years with a standard deviation of 9 years. Males represented 53.3% while females represented 46.7% of the included patients. Our analysis revealed that CT exhibited a higher sensitivity than US if we used a cutoff point 2 findings by CT 100% versus 60.4% in US, while both were equal in specificity 85.7% in both modalities. CT and US can significantly predict positive surgical outcome.
Conclusion: Detection of acute appendicitis by Ultrasound and CT were prior to any surgical intervention, reduces the negative appendectomy rate and the complications that may occur due to either improper diagnosis or unnecessary intervention.
 
Keywords
Ultrasonography; Computed tomography; Appendicitis; Surgical intervention
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