CLINICAL-RADIOLOGICAL CORRELATION IN ENHANCED DIAGNOSIS OF ACUTE APPENDICITIS WITH HISTOPATHOLOGICAL CORRELATION

Dr. Trupti Kaujalgi; Dr E Venkat Sai Raj Kumar; Dr. K V Rajasekhar; Dr. Sanjeev H Gowda; Dr. Sindhu Prakash

Volume : IX, Issue : VI, June - 2020

CLINICAL-RADIOLOGICAL CORRELATION IN ENHANCED DIAGNOSIS OF ACUTE APPENDICITIS WITH HISTOPATHOLOGICAL CORRELATION

Dr. Trupti Kaujalgi, Dr E Venkat Sai Raj Kumar, Dr. K V Rajasekhar, Dr. Sanjeev H Gowda, Dr. Sindhu Prakash

Abstract :

Background: In 1986 Alvarado described a scoring system, the ALVARADO or MANTRELS SCORE, to help diagnosis of acute appendicitis John Murphy described the triad of pain abdomen, vomiting and fever for diagnosis. Aims: The purpose of the study is to evaluate the effectiveness of Ultrasonography and Modified Alvarado Scoring System individually and both in combination for diagnosing acute appendicitis by correlating with histopathology reports. Materials and Methods: Modified Alvarado Score, sonographic examination was done and histopathology report was analyzed. Results: In our study, combination of ultrasonography and MASS was found to have highest sensitivity(93%) and diagnostic accuracy(80%) in the diagnosis of acute appendicitis, when compared to ultrasound and MASS individually. Conclusion: The combination of Modified Alvarado Scoring System and Ultrasonography increased diagnostic accuracy & sensitivity in diagnosis of acute appendicitis, when compared individually and thus helps in reducing unnecessary diagnostic tests and surgical interventions