Volume: 7 Issue: 3
Year: 2019, Page: 87-94,
Introduction:Acute appendicitis is a common surgical emergency and appendectomy is one of the frequently done emergency surgical operations. Its diagnosis stills remain elusive due to its varying presentation. The use of valuable diagnostic parameters can aid in diagnosis. We in the present study tried to evaluate the usefulness of USG abdomen, TLC and S. Amylase levels in diagnosing Acute Appendicitis.
Methods: This cross-section and prospective study were done in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Atotal of n=50 patients were identified during the study period. USG abdomen, total WBC count, Serum Amylase was done for each case of suspected appendicitis. The specimen sent for histopathological examination and the reports analyzed. Accuracy of diagnosis by USG abdomen and TLC count confirmed with histopathological findings.
Results: In the present study a total of n=50 patients were included out of which n=30 were male and n=20 were female patients. In the study, the clinical signs were the presence of right iliac fossa pain and tenderness in n=50(100%) patients followed by the presence of fever in n=35(70%) of patients. USG was having 100% specificity and 77.7% sensitivity, the total leucocyte count was showing 80% specificity and 77.1% sensitivity for diagnosis and the serum amylase levels was having a sensitivity of 8% but specificity was 100%.
Conclusion: The investigations like USG, TLC may aid in the diagnosis of appendicitis. The role of serum amylase is very limited in the diagnosis since its values are not sensitive enough. Through clinical examinations with the basic investigations are enough in most of the cases for diagnosis of acute appendicitis instead of more sophisticated procedures like CT abdomen
Keywords: Acute appendicitis, diagnostic parameters, USG, TLC
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AbbadiVenkat Mohan Reddy, Khan M I. Assessment of various diagnostic parameters in cases of acute Appendicitis. Perspectives in Medical Research 2019; 7(3): 87-94