Evaluating the diagnostic value of Ultrasonography for Acute Appendicitis in Adults, coming for Ultrasonography in Radiodiagnosis Department of Rajendra Institute of Medical Sciences (RIMS) Ranchi, Jharkhand.

Dr. Paras Nath Ram; Dr. Rajeev Kumar Ranjan; Dr. Suresh Kumar Toppo; Dr. Pulak Abhishek

Volume : IX, Issue : IV, April - 2020

Evaluating the diagnostic value of Ultrasonography for Acute Appendicitis in Adults, coming for Ultrasonography in Radiodiagnosis Department of Rajendra Institute of Medical Sciences (RIMS) Ranchi, Jharkhand.

Dr. Paras Nath Ram, Dr. Rajeev Kumar Ranjan, Dr. Suresh Kumar Toppo, Dr. Pulak Abhishek

Abstract :

Background: Acute appendicitis is among one of the frequently encountered surgical problems, but till date there is hardly any confirmatory method. Ultrasound is prescribed for conclusion of an appendicitis case as a simple and noninvasive strategy. Along these lines, because of the spread of disease and the critical need to precisely analyze in every center, we chose to decide the analytic estimation of this comprehensive technique in recognizing a case of appendicitis. Methodology: The present cross sectional observational study was done over a period of six months starting from November 2017 to April 2018 in the Radiodiagnosis department of RIMS Ranchi. A total of 428 cases were included. All suspected cases for appendicitis were included after consent from the patients. Cases who were not willing to participate and who were not admitted were excluded from the study. Once the USG was done patients, were tracked for the final outcome be it Surgery /Discharge or clinical confirmation based on the Discharge ticket. The findings thus found were compared with surgical and pathological findings and in cases where there was no surgery Discharge diagnosis was taken as the final diagnosis. Results: Appendix was identified in 56.77%(243/428) of suspected cases. Sensitivity 85.29% with 95% CI (78.21% to 90.78%) , Specificity 50.47% with 95% CI (40.63% to 60.28%) , Positive Predictive Value 68.64% with 95% CI (64.10% to 72.85%) Negative Predictive Value 72.97% with 95% CI (63.35% to 80.84%) and an Accuracy of 69.96% with 95% CI (63.77% to 75.65%) Conclusion: Ultrasonography cannot be relied solely for making a correct diagnosis of acute appendicitis, other clinical scores and available modalities should be used to arrive at the confirmation.