Ultrasound Examination for the Diagnosis of Acute Appendicitis

  • Ataeva Saodat Khurshedovna Samarkand State Medical Institute, Department of Medical Radiology, Republic of Uzbekistan, Samarkand
  • Umarkulov Zabur Zafarjonovich Samarkand State Medical Institute, Department of Medical Radiology, Republic of Uzbekistan, Samarkand
Keywords: appendicitis, Diagnostic imaging, Ultrasound echography

Abstract

Objective: to determine the usefulness and accuracy of ultrasound for the diagnosis of acute appendicitis.

Methods. This retrospective study included 242 of 286 patients who underwent 2021 appendix ultrasound. The ultrasound report, pathology report, and clinical records were reviewed. The pathology report has been used as the gold standard for diagnosing acute appendicitis.

Results: The overall rate of visualization of the appendix was 41.7%. Fifty-six patients (23%) had a positive diagnosis of acute appendicitis on ultrasound, 45 (19%) had a negative diagnosis, and 141 (58%) had an inconclusive diagnosis; 17 patients (7%) had an alternative diagnosis suggested by ultrasound. Twenty-nine patients (12%) underwent a CT scan based on the ultrasound report, 6 of whom had a positive diagnosis of acute appendicitis, 5 had a negative diagnosis, and 18 had an alternative diagnosis suggested by the CT scan. Sensitivity, specificity, positive predictive value, and negative predictive value of US for acute appendicitis were 75.9%, 89.7%, 73.2%, and 91.0%, respectively, after adjusted calculation for the US inconclusive group.

Conclusions. The results of ultrasonography of acute appendicitis at the Queen Elizabeth Hospital in Hong Kong are comparable to those reported in the literature. Ultrasonography is a useful and safe imaging modality for the investigation of acute appendicitis, and computed tomography has an additional role in the diagnosis of acute appendicitis and the management of patients with right lower quadrant pain.

References

1. Akhmedov Y.A., Ataeva S.Kh., Ametova A.S., Bazarova S.A., Isakov H.Kh. THE HISTORY OF THE DEVELOPMENT OF RADIATION DIAGNOSTICS. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.34-42
2. Akhmedov Y.A., Rustamov U.Kh., Shodieva N.E., Alieva U.Z., Bobomurodov B.M. Modern Application of Computer Tomography in Urology. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.121-125
3. Ataeva S.Kh., Ravshanov Z.Kh., Ametova A.S., Yakubov D.Zh. Radiation visualization of chronic joint diseases. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.12-17
4. Balthaza E, Birnbaum B, Yee J, Megibow A, Roshkow J, Gray C. Acute appendicitis: CT and US correlations in 100 patients. Radiology. 1994;190:31-5.
5. Chan I, Biknell SG, Graham M. Utility and diagnostic accuracy of sonography in detecting appendicitis in a community. AJR Am J Roentgenol. 2005;184:1809-12.
6. Franke C, Böhner H, Yang Q, Ohmann C, Röher HD. Ultrasonography for the diagnosis of acute appendicitis: results of a prospective multicenter trial. Acute Abdominal Pain Study Group. World J Surg. 1999;23:141-6.
7. Gaitini D, Beck-Razi N, Mor-Yosef D, et al. Diagnosing acute appendicitis in adults: accuracy of color doppler sonography and MDCT compared with surgery and clinical follow up. AJR Am Roentgenol. 2008;190:1300-6.
8. Hamidov O.A., Diagnostics of injuries of the soft tissue structures of the knee joint and their complications. European research. Moscow. October 2020. № 1 (37). P. 33-36.
9. John H, Neff U, Kelemen M. Appendicitis diagnosis today: clinical and ultrasonic deductions. World J Surg. 1993;17:243-9.
10. Jones PF. Suspected acute appendicitis: trend in management over 30 years. Br J Surg. 2001;88:1570-7.
11. Keyzer C, Zalcman M, De Maertelaer V, et al. Comparison of US and unenhanced multi-detector row CT in patients suspected of having acute appendicitis. Radiology. 2005;236:527-34.
12. Khamidov O. A., Khodzhanov I. Yu., Mamasoliev B.M., Mansurov D.Sh., Davronov A.A., Rakhimov A.M. The Role of Vascular Pathology in the Development and Progression of Deforming Osteoarthritis of the Joints of the Lower Extremities (Literature Review). Annals of the Romanian Society for Cell Biology, Romania,Vol. 25, Issue 1, 2021, Pages. 214 – 225
13. Khamidov O.A., Akhmedov Y.A., Ataeva S.Kh., Ametova A.S., Karshiev B.O. Role of Kidney Ultrasound in the Choice of Tactics for Treatment of Acute Renal Failure. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.132-134
14. Khamidov O.A., Akhmedov Y.A., Yakubov D.Zh., Shodieva N.E., Tukhtaev T.I. DIAGNOSTIC POSSIBILITIES OF USES IN POLYKYSTOSIS OFKIDNEYS. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.27-33
15. Khamidov O.A., Ataeva S.Kh., Ametova A.S., Yakubov D.Zh., Khaydarov S.S. A Case of Ultrasound Diagnosis of Necrotizing Papillitis. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.103-107
16. Khamidov O.A., Ataeva S.Kh., Yakubov D.Zh., Ametova A.S., Saytkulova Sh.R. ULTRASOUND EXAMINATION IN THE DIAGNOSIS OF FETAL MACROSOMIA. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.49-54
17. Khamidov O.A., Mirzakulov M.M., Ametova A.S., Alieva U.Z. Multispiral computed tomography for prostate diseases. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.9-11
18. Khamidov O.A., Normamatov A.F., Yakubov D.Zh., Bazarova S.A. Respiratory computed tomography. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.1-8
19. Khamidov O.A., Urozov U.B., Shodieva N.E., Akhmedov Y.A. Ultrasound diagnosis of urolithiasis. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.18-24
20. Khamidov O.A., Yakubov D.Zh., Alieva U.Z., Bazarova S.A., Mamaruziev Sh.R. Possibilities of Sonography in Differential Diagnostics of Hematuria. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.126-131
21. Khamidov O.A., Yakubov D.Zh., Ametova A.S., Bazarova S.A., Mamatova Sh.T. Application of the Ultrasound Research Method in Otorhinolaryngology and Diseases of the Head and Neck Organs. International Journal of Development and Public Policy, volume 1 issue 3 August 2021 P.33-37
22. Khamidov O.A., Yakubov D.Zh., Ametova A.S., Turdumatov Zh.A., Mamatov R.M. Magnetic Resonance Tomography in Diagnostics and Differential Diagnostics of Focal Liver Lesions. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.115-120
23. Khodzhibekov M.X., Khamidov O.A., Mardieva G.M. Verification of radiation methods in diagnostics of injuries of the knee joint intra-articular structures. International Journal of Pharmaceutical Research. 2020:13(1), p. 302-308.
24. Lally KP, Cox CS Jr, Andrassy RJ. Appendix. In: Townsend CM Jr, Mattox KL, Evers BM, et al, editors. Sabiston textbook of surgery. 17th ed. New York: Saunders; 2004. p 1381-95.
25. Lee SL, Walsh AJ, Ho HS. Computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of acute appendicitis. Arch Surg. 2001;136:556-61.
26. Puylaert JB, Rutgers PH, Lalisang RI, et al. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med. 1987;317:666-9.
27. Rustamov U.Kh., Shodieva N.E., Ametova A.S., Alieva U.Z., Rabbimova M.U. US-DIAGNOSTICS FOR INFERTILITY. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.55-61
28. Rustamov U.Kh., Urinboev Sh.B., Ametova A.S. Ultrasound diagnostics of ectopic pregnancy. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.25-28
29. Хамидов О.А. Оптимизация лучевой диагностики повреждений мягкотканных структур коленного сустава и их осложнений Американский журнал медицины и медицинских наук, Америка, 2020, 10 (11) - С. 881-884
30. Ходжибеков М.Х., Хамидов О.А. Обоснование ультразвуковой диагностики повреждений внутрисуставных структур коленного сустава и их осложнений. №3 (31), 2020. С.526-529.
Published
2022-03-03
How to Cite
Khurshedovna, A. S., & Zafarjonovich, U. Z. (2022). Ultrasound Examination for the Diagnosis of Acute Appendicitis. Central Asian Journal of Medical and Natural Science, 3(2), 72-77. https://doi.org/10.17605/cajmns.v3i2.624
Section
Articles