scholarly journals Diagnostic Scores in Acute Appendicitis

2018 ◽  
Author(s):  
Alfredo Alvarado
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Scores

Evaluation Of Diagnostic Scores For Acute Appendicitis

2018 ◽  
Vol 28 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Wu Xingye ◽  
Li Yuqiang ◽  
Wang Rong ◽  
Zhang Hongyu
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Scores

Sex-Specific Diagnostic Scores for Acute Appendicitis

1994 ◽  
Vol 29 (1) ◽  
pp. 59-66 ◽  
Author(s):  
M. Eskelinen ◽  
J. Ikonen ◽  
P. Lipponen
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Scores

Diagnostic accuracy of Alvarado, RIPASA and Tzanakis scoring system in acute appendicitis: A prospective observational study

2021 ◽  
pp. 004947552110301
Author(s):  
Pushkar Sharma ◽  
Ankit Jain ◽  
Gomathi Shankar ◽  
Sreerekha Jinkala ◽  
Uday S Kumbhar ◽  
...  
Keyword(s):  
Observational Study ◽  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Scoring System ◽  
Prospective Observational Study ◽  
Alvarado Score ◽  
Low Sensitivity ◽  
The Cost ◽  
Diagnostic Scores

Our prospective observational study, enrolling 167 patients undergoing emergency appendicectomy, served to evaluate the Alvarado, Tzanakis and RIPASA diagnostic scores. The latter was found to be a better scoring system because of its higher diagnostic accuracy. At centres with limited expertise in ultrasonography, RIPASA outperforms the Tzanakis score. Although easy to use, the Alvarado score was useful only to ‘rule in’ cases with AA with significant accuracy but at the cost of low sensitivity. It cannot be effectively used in triaging.

Angiocentric lymphoma masquerading as acute appendicitis

1999 ◽  
Vol 34 (4) ◽  
pp. 378-380 ◽  
Author(s):  
Huh ◽  
S-M Hong ◽  
Kim ◽  
B-S Kim ◽  
K-H Lee ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Angiocentric Lymphoma

Surgery for Acute Appendicitis May Be Delayed

2010 ◽  
Vol 3 (10) ◽  
pp. 10
Author(s):  
MARY ANN MOON
Keyword(s):  
Acute Appendicitis

Schistosomal Appendicitis in Pregnancy

Swiss Surgery ◽  
2002 ◽  
Vol 8 (3) ◽  
pp. 121-122 ◽  
Author(s):  
Halkic ◽  
Abdelmoumene ◽  
Gintzburger ◽  
Mosimann
Keyword(s):  
Acute Appendicitis ◽  
Schistosoma Haematobium ◽  
Acute Inflammation ◽  
The Body ◽  
Parasitic Infections ◽  
Common Complication ◽  
Surgical Infection ◽  
High Prevalence ◽  
Potential Challenge ◽  
In Pregnancy

Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.

Improving diagnosis of acute appendicitis with atypical findings by Tc-99m HMPAO leukocyte scan

2002 ◽  
Vol 41 (01) ◽  
pp. 37-41 ◽  
Author(s):  
S. Shung-Shung ◽  
S. Yu-Chien ◽  
Y. Mei-Due ◽  
W. Hwei-Chung ◽  
A. Kao
Keyword(s):  
Acute Appendicitis ◽  
False Positive ◽  
False Positive Rate ◽  
Accurate Method ◽  
Clinical Findings ◽  
Pathological Findings ◽  
Lower Quadrant ◽  
Predictive Values ◽  
Positive Rate

Summary Aim: Even with careful observation, the overall false-positive rate of laparotomy remains 10-15% when acute appendicitis was suspected. Therefore, the clinical efficacy of Tc-99m HMPAO labeled leukocyte (TC-WBC) scan for the diagnosis of acute appendicitis in patients presenting with atypical clinical findings is assessed. Patients and Methods: Eighty patients presenting with acute abdominal pain and possible acute appendicitis but atypical findings were included in this study. After intravenous injection of TC-WBC, serial anterior abdominal/pelvic images at 30, 60, 120 and 240 min with 800k counts were obtained with a gamma camera. Any abnormal localization of radioactivity in the right lower quadrant of the abdomen, equal to or greater than bone marrow activity, was considered as a positive scan. Results: 36 out of 49 patients showing positive TC-WBC scans received appendectomy. They all proved to have positive pathological findings. Five positive TC-WBC were not related to acute appendicitis, because of other pathological lesions. Eight patients were not operated and clinical follow-up after one month revealed no acute abdominal condition. Three of 31 patients with negative TC-WBC scans received appendectomy. They also presented positive pathological findings. The remaining 28 patients did not receive operations and revealed no evidence of appendicitis after at least one month of follow-up. The overall sensitivity, specificity, accuracy, positive and negative predictive values for TC-WBC scan to diagnose acute appendicitis were 92, 78, 86, 82, and 90%, respectively. Conclusion: TC-WBC scan provides a rapid and highly accurate method for the diagnosis of acute appendicitis in patients with equivocal clinical examination. It proved useful in reducing the false-positive rate of laparotomy and shortens the time necessary for clinical observation.

Sign in / Sign up

Export Citation Format

Share Document