Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children
Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed. The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagn...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2021-04-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_155055_69421332fc001aea729d2cc91471a6b0.pdf |
| _version_ | 1818570527664504832 |
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| author | Mohamed Rizk Ibrahim Elsayaad Mostafa Moahmed Mostafa Shaqueer Walied khereba Sami Mohammed |
| author_facet | Mohamed Rizk Ibrahim Elsayaad Mostafa Moahmed Mostafa Shaqueer Walied khereba Sami Mohammed |
| author_sort | Mohamed Rizk |
| collection | DOAJ |
| description | Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed. The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis. Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS . Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score. Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced. |
| first_indexed | 2024-12-14T13:42:52Z |
| format | Article |
| id | doaj.art-ef712e3c9bb5465aa048f0073180be03 |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-12-14T13:42:52Z |
| publishDate | 2021-04-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-ef712e3c9bb5465aa048f0073180be032022-12-21T22:59:24ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802021-04-01321282128710.21608/ijma.2021.38601.1170155055Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in ChildrenMohamed Rizk0Ibrahim Elsayaad1Mostafa Moahmed Mostafa Shaqueer2Walied khereba3Sami Mohammed4Department of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Radiology, Dameitta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Pathology, Damietta Faculty of Medicine, Al-Azhar University, EgyptBackground: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed. The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis. Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS . Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score. Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced.https://ijma.journals.ekb.eg/article_155055_69421332fc001aea729d2cc91471a6b0.pdfappendicitismodified alvaradoultrasounddiagnosischildren |
| spellingShingle | Mohamed Rizk Ibrahim Elsayaad Mostafa Moahmed Mostafa Shaqueer Walied khereba Sami Mohammed Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children International Journal of Medical Arts appendicitis modified alvarado ultrasound diagnosis children |
| title | Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children |
| title_full | Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children |
| title_fullStr | Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children |
| title_full_unstemmed | Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children |
| title_short | Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children |
| title_sort | comparative study between modified alvarado score and abdominal ultrasound diagnostic value of acute appendicitis in children |
| topic | appendicitis modified alvarado ultrasound diagnosis children |
| url | https://ijma.journals.ekb.eg/article_155055_69421332fc001aea729d2cc91471a6b0.pdf |
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