In:
Mustafa Kemal Üniversitesi Tıp Dergisi, Hatay Mustafa Kemal University Faculty of Medicine, Vol. 13, No. 47 ( 2022-12-15), p. 349-353
Abstract:
Objective: In this study, it was aimed to investigate the sensitivity of ultrasonography in the diagnosis of appendicitis in the pediatric age group. Method: 87 pediatric cases who were diagnosed with appendicitis after the operation, had preoperative USG examination and had no additional pathology causing acute abdomen were included in the study. The sensitivity of USG in the diagnosis of appendicitis was investigated by examining the USG reports of the cases retrospectively. In addition, the leukocyte counts, neutrophil ratios and CRP values of the cases were analyzed from the hospital archive and CT examinations, if any, from the PACS system. Results: 71% of the cases were acute appendicitis, 29% of them were perforated appendicitis. USG was compatible with appendicitis in 74% of the cases, and the diagnostic sensitivity of USG was 74%. Secondary appendicitis findings were observed on USG in 16% of the cases, while USG was completely normal in 10% of the cases. Of the 26% cases that could not be diagnosed by USG, 10% of the cases were diagnosed by CT. The diagnosis was made by clinical findings in 16% of the cases. There was leukocytosis in 62% of the cases, an increase in the neutrophil ratio (shift to the left) in 84%, and elevated CRP in 86%, and at least one of these parameters was high in all cases. Conclusion: Although ultrasonography is not sufficient to diagnose in all cases, the high sensitivity rate achieved in this study supports the knowledge that ultrasonography can be used as a first-choice diagnostic tool in pediatric patients with suspected acute appendicitis
Type of Medium:
Online Resource
ISSN:
2149-3103
DOI:
10.17944/mkutfd.1057560
Language:
Unknown
Publisher:
Hatay Mustafa Kemal University Faculty of Medicine
Publication Date:
2022
detail.hit.zdb_id:
2843861-9
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