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