A Prospective Study to Assess Ultrasonography in the Diagnosis of Acute Right Lower Quadrant Pain in A Tertiary Care Hospital in Bareilly

  • Yogendra Kumar Assistant Professor, Department of Radio diagnosis, Rajshree Medical Institute, Bareilly.
Keywords: Ultrasonography, Specificity, Sensitivity

Abstract

Background: The 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: The descriptive analytical study was conducted at Rajshree Medical Institute, Bareilly 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 65 patients enrolled in our study, only 46 patients completed our study, n=34 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 92% and specificity of 81% were calculated.

Conclusions: 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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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. Yitta S, Mausener VE, Kim A. Pelvic ultrasound immediately following MDCT in female patients in abdominal/ pelvic pain: Is it always necessary? Emerg Radiol. 2011; 18: 371-80.
9. Puylaert JB, Rutgers PH, Lalisang RI. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med. 1987; 317: 666-9.
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. Ramachandran P, Sivit CJ, Newman KD, Scwartz MZ. Ultrasonography as an adjunct in the diagnosis of acute appendicitis: A four-year experience. J Pediatr Surg 1996; 31: 164-7.
13. 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.
14. Seal A. Appendicitis: a historical review. Can J Surg. 1981; 24: 427-33.
15. Puylaert JB. Acute appendicitis: US evaluation using graded compression. Radiology. 1986;158: 355-60.
16. Chan I, Bicknell SG, Graham M. Utility and diagnostic accuracy of sonography in detecting appendicitis in acommunity hospital. Am J Roentgenol. 2005; 184: 1809 -12.
17. Rettenbacher T, Hollerweger A, Macheiner P, Gritzmann N, Daniaux M, Schwamberger K et al. Ovoid shape of the vermiform appendix: a criterion to exclude acuteappendicitis-evaluation with US. Radiology. 2003; 226: 95-100.
18. Rodriguez DP, Vargas S, Callahan MJ. Appendicitis in young children: Imaging experience and clinical outcomes. Am J Roentgenol 2006; 186: 1158-64.
19. Gisler M, Rouse G, DeLange M. Sonography of appendicitis: A Review. JDMS.1989; 5: 57-60.
20. Puig S,Hormann M, Rebhandl W, Felder. US as primary diagnostic tool in relation to negative appendicectomy:six years experience. Radiology. 2003; 226: 101-4.
21. 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.
22. Puylaert JB, Rutgers PH, Lalisang RI. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med. 1987; 317: 666-9.
23. Jeffrey RB Jr, Laing FC, Townsend RR. Acute appendicitis: Sonographic criteria based on 250 cases. Radiology. 1988; 167: 327-9.
24. John H, Neff U, Kelemen M. Appendicitis diagnosis today: Clinical and ultrasonic deductions. World J Surg. 1993; 17: 243-9.
25. Ali S, Shah STA. Gynaecological Emergencies. Professional Med J. 2007; 14: 43-8.
26. Shahid G, Dar HM, Majid HJ. A study of gynaecological emergencies presenting as Acute Appendicitis. Proceeding Shaikh Zayed Postgrad Med Inst 2005; 19: 13-7.
27. 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.
28. Malik KA, Khan A, Waheed I. Evaluation of Alvarado scorein diagnosis of acute appendicitis. J Coll Physicians Surg Pakistan. 2000; 10: 392-4.
Published
2020-06-30
How to Cite
1.
Kumar Y. A Prospective Study to Assess Ultrasonography in the Diagnosis of Acute Right Lower Quadrant Pain in A Tertiary Care Hospital in Bareilly. Int Arch BioMed Clin Res [Internet]. 2020Jun.30 [cited 2022Jul.3];6(2):RD4-RD6. Available from: https://iabcr.org/index.php/iabcr/article/view/664
Section
ORIGINAL ARTICLES ~ Radio diagnosis