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