Efficiency of Ultrasonography in the diagnosis of patients presenting with Acute Right Lower Quadrant Pain: A Hospital Based Study

  • Lalit Bhandari Assistant Professor, Department of Radio- diagnosis, Jawahar Lal Medical College, Sawangi (Meghe), Wardha
Keywords: Ultrasonography, Specificity, Sensitivity, Right lower quadrant, pain.

Abstract

Introduction: This study was conducted to assess the sensitivity and specificity of ultrasonography in differentiating causes of acute right lower quadrant pain in women of child-bearing age by taking surgical outcome as the gold standard.

Methods: This prospective analytical study was conducted in the department of Radio diagnosis and comprised female patients of child-bearing age who presented with acute right lower quadrant pain and underwent surgery after ultrasonography. SPSS 10 was used for statistical analysis.

Results Of the 60 patients enrolled in our study, only 44 patients completed our study, n=30 patients were symptomatically and sonographically positive to have either acutely inflamed non-compressible appendix or focal fluid collection in right lower quadrant with normal pelvic viscera. Sensitivity of 91% and specificity of 86% were calculated.

Conclusion: Ultrasound had a sensitivity and specificity justifying its usage as a good diagnostic tool in emergency situations to avoid undue surgical interventions.

 

Downloads

Download data is not yet available.

References

1. Groebli Y, Deruaz C, Merlini. M. Outcome of non-specific right iliac fossa pain syndromes. Ann Chir. 1998; 52: 959-64.
2. Jain KA, Ablin DS, Jeffrey RB.Brant . WE. Sonographic differential diagnosis of right lower quadrant pain other than appendicitis Clin Imaging. 1996; 20: 12-6.
3. Kupesic S, Aksamija A, Vucic N. Ultrasonography in acute pelvic pain. Acta Med Croatica. 2002; 56: 171-80.
4. Gaensler EH, Jeffrey RB Jr, Laing FC, Townsend RR. Sonography in patients with suspected acute appendicitis: value in establishing alternative diagnoses. AJR Am J Roentgenol. 1989; 152: 49-51.
5. Bau A, Atri M. Acute female pelvic pain: ultrasound evaluation. Semin Ultrasound CT MR. 2000; 21: 78-93.
6. Andolsek KM. Ectopic pregnancy: 'classic' vs common presentation J Fam Pract. 1987; 24: 481-5.
7. Heston Thomas F. "Standardizing predictive values in diagnostic imaging research". J Magn Reson Imaging. 2011; 33: 505-7.
8. Franke C, Böhner H, Yang Q, Ohmann C, Röher HD. Ultrasonography for the diagnosis of acute appendicitis: results of a prospective multicenter trial. World J Surg. 1999; 23: 141-6.
9. Seal A. Appendicitis: a historical review. Can J Surg. 1981; 24: 427-33.
10. Jeffrey RB Jr, Laing FC, Townsend RR. Acute appendicitis: Sonographic criteria based on 250 cases. Radiology. 1988; 167: 327- 9.
11. Schulte B, Beyer D, Kaiser C, Horsch S, Wiater A. Ultrasonography in suspected acute appendicitis in childhood - Report of 1285 cases. Eur J Ultrasound 1998; 8: 177-82.
12. Lee JH, Jeong YK, Hwang JC. Graded compression sonography with adjuvant use of posterior compression technique in the sonographic diagnosis of acute appendicitis. AJR Am J Roentgenol. 2002; 178: 863-8.
13. Puylaert JB, Rutgers PH, Lalisang RI. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med. 1987; 317: 666-9.
14. Jeffrey RB Jr, Laing FC, Townsend RR. Acute appendicitis: Sonographic criteria based on 250 cases. Radiology. 1988; 167: 327-9.
15. John H, Neff U, Kelemen M. Appendicitis diagnosis today: Clinical and ultrasonic deductions. World J Surg. 1993; 17: 243-9.
16. Shahid G, Dar HM, Majid HJ. A study of gynecological emergencies presenting as Acute Appendicitis. Proceeding Shaikh Zayed Postgrad Med Inst 2005; 19: 13-7.
17. Zielke A, Hasse C, Sitter H. Influence of ultrasound on clinical decision making in acute appendicitis: a prospective study. Eur J Surg. 1998; 164: 201-9.
18. Malik KA, Khan A, Waheed I. Evaluation of Alvarado scorein diagnosis of acute appendicitis. J Coll Physicians Surg Pakistan. 2000; 10: 392-4.
Published
2016-03-20
How to Cite
1.
Bhandari L. Efficiency of Ultrasonography in the diagnosis of patients presenting with Acute Right Lower Quadrant Pain: A Hospital Based Study. Int Arch BioMed Clin Res [Internet]. 2016Mar.20 [cited 2020Dec.3];2(1):43-5. Available from: https://iabcr.org/index.php/iabcr/article/view/581
Section
ORIGINAL ARTICLES ~ Radio diagnosis