Destructive acute appendicitis: the assessment of ultrasound diagnostics effectiveness within the framework of a Centre

Written by Kaminskiy M.N.

  UDK: 616.346.2-002-036.12-073.432.1 | Pages: 70–73 | Full text PDF | Open PDF 


Objective. Conducted the analysis of the ultrasound diagnostics of the destructive acute appendicitis within the framework of a Centre. Methods. Examined 394 patients aged 18–87 admitted to the clinic with suspected acute appendicitis. Sonography was performed by one specialist on Phillips EnVisor HD and GE Logiq 400 devices. In 147 cases, destructive acute appendicitis was diagnosed; in 247 people this diagnosis was excluded. Results. The appendix with destructive acute appendicitis was visualized in 79 %, without it – in 28.9 % of cases. The sensitivity of the method was 83.8 %, the specificity was 95 %, the predictive value of the positive result was 79 %, the predictive value of the negative result was 95.1 %, the accuracy was 88.7 %. Conclusions. Ultrasound diagnosis of acute appendicitis is informative, easy to learn method. To diagnose destructive acute appendicitis, the following are most informative features: "target", incompatibility of the process, an increase in its diameter of more than 7 mm, the presence of coprolites, and a thickening of the periapendicular filament.

Links to authors:

M.N. Kaminskiy
Road Clinical Hospital at Khabarovsk, OJSC (49 Voronezhskaya St. Khabarovsk 680022 Russian Federation)

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