Volume 3

Number 1 January 2019

Ultrasonographic Evaluation in the Diagnosis of Acute Appendicitis with Histopathological Correlation

DOI: https://doi.org/10.70357/jdamc.2019.v0301.03

Saiham K S1 , Hossain R2 , Halder B A3 , Satter A4 , Yesmin L5 , Naz F M6 , Alam S7 , Ahmad M R8 , Hossin I9

Abstract

Ultrasonogram is a useful tool in providing valuable information for the diagnosis of of acute appendicitis. Ultrasound couldincrease the diagnostic accuracy in those patients presented with unclear symptoms and signs of acute appendicitis . The aim ofthis study is to evaluate the effectiveness of U/S in the diagnosis of acute appendicitis. This cross sectional study was carried outin the department of Radiology & Imaging, Sir Salimullah Medical College, Dhaka during the period of January'2016 toDecember'2016. It included 40 patients suspected to have acute appendicitis. Ultrasound (U/S) was done for all these patients.There were (18) males represent (45%) and (22) females represent (55%). These patients are grouped according to gender, age,signs & symptoms, the result of U/S examination and histopathological result. Ultrasound was positive in (33) patients (82.5%) and negative in (07) patients (17.5%). Four patients out of (07) had true negative results while (03) patients were falsenegative. Ultrasound sensitivity was (91.4 %) in diagnosing acute appendicitis, specificity was (80%), accuracy rate was(92.5%), positive predictive value (96.7%) and negative predictive value (57.1%). As abdominal ultrasound showed highvalidity parameters for the diagnosis of acute appendicitis, the study concluded that ultrasonogram is a useful diagnosticmodality in preoperative evaluation of acute appendicitis and can be used for planning of appropriate management.

Keywords: Ultrasonographic Evaluation, Acute Appendicitis, Histopathological Correlation.


  1. Consultant, Radiology and Imaging

    Doctors Care General Hospital & Diagnostic Center, Brahmanbaria

  2. Associate Professor & Head of the department, Department of Radiology and Imaging

    Sir Salimullah Medical College, Dhaka

  3. Associate Professor, Department of Radiology and Imaging

    Sir Salimullah Medical College, Dhaka

  4. Associate Professor, Department of Radiology and Imaging

    Sir Salimullah Medical College, Dhaka

  5. Medical officer

    NITOR, Dhaka

  6. Assistant Professor Department of Radiology & Imaging

    Dhaka Dental College

  7. Assistant Professor, Department of Dental Radiology & Imaging

    Dhaka Dental College

  • Medical Educationist and Dental Surgeon

    Consultant United Oro-Dental & Maxillofacial Surgery

  • Lecturer, Department of Radiology & Imaging

    Dhaka Dental College

    • Download PDF File Cite

    Volume 3, Number 1 January 2019
    Page: 15-19