Diagnostic performance of ultrasound in acute appendicitis

Background: acute appendicitis (AA) is the acute surgical abdominal disease more common in the Hospital Susana López de Valencia Popayán, Colombia; its diagnosis is one of the most common problems in emergency. Objective: to determined the operating performance of emergency ultrasound in suspected a...

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Main Authors: Omar Alejandro Ortega, José Luis Mera-Collazos, Marcela Rivera-Portilla
Format: Article
Language:Spanish
Published: Universidad del Cauca 2012-12-01
Series:Revista de la Facultad de Ciencias de la Salud
Subjects:
Online Access:http://revistas.unicauca.edu.co/index.php/rfcs/article/view/59
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author Omar Alejandro Ortega
José Luis Mera-Collazos
Marcela Rivera-Portilla
author_facet Omar Alejandro Ortega
José Luis Mera-Collazos
Marcela Rivera-Portilla
author_sort Omar Alejandro Ortega
collection DOAJ
description Background: acute appendicitis (AA) is the acute surgical abdominal disease more common in the Hospital Susana López de Valencia Popayán, Colombia; its diagnosis is one of the most common problems in emergency. Objective: to determined the operating performance of emergency ultrasound in suspected acute appendicitis. Methods: retrospective study conducted with data obtained from the first of January to 31 December 2011, including patients with presumed diagnosis of AA and abdominal ultrasound before surgery. Results: a total of 134 individuals who underwent surgery, with pre-procedure ultrasound report and pathology report. The performance of ultrasound resulted in a sensitivity of 73.2%, specificity 86.3%, positive predictive value of 96.4%, negative predictive value of 38.7%. Conclusion: the overall performance of abdominal ultrasound in the diagnosis of acute appendicitis in our hospital is acceptable. But its usefulness is poor in excluding the diagnosis of acute appendicitis. Because of its accessibility and low cost is the best test available for diagnosis in doubtful cases in emergency or difficult diagnosis.
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spelling doaj.art-ca11ef9849b544dcb631f07962b4a3532022-12-22T00:08:13ZspaUniversidad del CaucaRevista de la Facultad de Ciencias de la Salud0124-308X2538-99712012-12-0114481260Diagnostic performance of ultrasound in acute appendicitisOmar Alejandro Ortega0José Luis Mera-Collazos1Marcela Rivera-Portilla2Hospital Susana López de Valencia, Popayán-ColombiaHospital Susana López de Valencia, Popayán-ColombiaHospital Susana López de Valencia, Popayán-ColombiaBackground: acute appendicitis (AA) is the acute surgical abdominal disease more common in the Hospital Susana López de Valencia Popayán, Colombia; its diagnosis is one of the most common problems in emergency. Objective: to determined the operating performance of emergency ultrasound in suspected acute appendicitis. Methods: retrospective study conducted with data obtained from the first of January to 31 December 2011, including patients with presumed diagnosis of AA and abdominal ultrasound before surgery. Results: a total of 134 individuals who underwent surgery, with pre-procedure ultrasound report and pathology report. The performance of ultrasound resulted in a sensitivity of 73.2%, specificity 86.3%, positive predictive value of 96.4%, negative predictive value of 38.7%. Conclusion: the overall performance of abdominal ultrasound in the diagnosis of acute appendicitis in our hospital is acceptable. But its usefulness is poor in excluding the diagnosis of acute appendicitis. Because of its accessibility and low cost is the best test available for diagnosis in doubtful cases in emergency or difficult diagnosis.http://revistas.unicauca.edu.co/index.php/rfcs/article/view/59Apendicitis, Abdomen agudo, Ecografía, Diagnóstico
spellingShingle Omar Alejandro Ortega
José Luis Mera-Collazos
Marcela Rivera-Portilla
Diagnostic performance of ultrasound in acute appendicitis
Revista de la Facultad de Ciencias de la Salud
Apendicitis, Abdomen agudo, Ecografía, Diagnóstico
title Diagnostic performance of ultrasound in acute appendicitis
title_full Diagnostic performance of ultrasound in acute appendicitis
title_fullStr Diagnostic performance of ultrasound in acute appendicitis
title_full_unstemmed Diagnostic performance of ultrasound in acute appendicitis
title_short Diagnostic performance of ultrasound in acute appendicitis
title_sort diagnostic performance of ultrasound in acute appendicitis
topic Apendicitis, Abdomen agudo, Ecografía, Diagnóstico
url http://revistas.unicauca.edu.co/index.php/rfcs/article/view/59
work_keys_str_mv AT omaralejandroortega diagnosticperformanceofultrasoundinacuteappendicitis
AT joseluismeracollazos diagnosticperformanceofultrasoundinacuteappendicitis
AT marcelariveraportilla diagnosticperformanceofultrasoundinacuteappendicitis