Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy

Background: It is still difficult to make the diagnosis of acute appendicitis in children with only clinical examination.Objectives: The present study, retrospectively reviewing the data of the patients that underwent appendectomy, aimed at emphasizingthe diagnostic value of ultrasonography findings...

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Autores principales:	Ramazan Karabulut, Zafer Turkyilmaz, Kaan Sonmez, Kıvanc Seref, Aylar Poyraz, Suna Ozhan Oktar, Abdullah Can Basaklar
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2016
Materias:	ultrasonography appendicitis diagnosis children Medicine R
Acceso en línea:	https://doaj.org/article/222a595995e743dbadf752c41ba4219e
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spelling	oai:doaj.org-article:222a595995e743dbadf752c41ba4219e2021-11-15T09:45:30ZComparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy2783-2430https://doaj.org/article/222a595995e743dbadf752c41ba4219e2016-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47137_6bb0a3109dac6e73721ee38ae4239d44.pdfhttps://doaj.org/toc/2783-2430Background: It is still difficult to make the diagnosis of acute appendicitis in children with only clinical examination.Objectives: The present study, retrospectively reviewing the data of the patients that underwent appendectomy, aimed at emphasizingthe diagnostic value of ultrasonography findings by comparing them with pathological diagnosis.Patients and Methods: This retrospective study included patients aged under 18, who were operated on for appendicitis between 1January 2015 and 31 December 2015. The relationship between the pathology results of these patients and the results of preoperativeultrasonography performed for the diagnosis of acute appendicitis was investigated.Results: The study included 100 patients, 42 were female and 58 were male, on whom ultrasonography was performed and whosemean age was 11.3±3.7 years. While there were 28 (28%) patients who did not receive a definitive diagnosis of appendicitis pathologically, there were 43 (43%) patients in whom there were no ultrasonography findings supporting appendicitis. While appendicitisdiagnosis was made pathologically in 72 patients (72%), suggestive findings of appendicitis, such as compression and double wallthickness of the appendix (over 6 mm), were detected in 57 patients (57%). In addition, 42% periappendiceal fluid collection, 25% periappendicealfat inflammation, and 14% appendicolith were detected by ultrasonography. While 47 (65.3%) of the 72 patients withpathologically confirmed appendicitis received appendicitis diagnosis by ultrasonography, 25 (34.7%) did not (Pearson square testP = 0.007). The sensitivity and specificity of ultrasonography in the diagnosis of appendicitis were 66.6% (48/72) and 64.28% (18/28),respectively.Conclusions: According to the results of the current study, ultrasonography, in the diagnosis of appendicitis, should only be usedfor the support of clinical diagnosis or for differential diagnosis.Ramazan KarabulutZafer TurkyilmazKaan SonmezKıvanc SerefAylar PoyrazSuna Ozhan OktarAbdullah Can BasaklarShiraz University of Medical SciencesarticleultrasonographyappendicitisdiagnosischildrenMedicineRENIranian Journal of Colorectal Research, Vol 4, Iss 2 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	ultrasonography appendicitis diagnosis children Medicine R
spellingShingle	ultrasonography appendicitis diagnosis children Medicine R Ramazan Karabulut Zafer Turkyilmaz Kaan Sonmez Kıvanc Seref Aylar Poyraz Suna Ozhan Oktar Abdullah Can Basaklar Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy
description	Background: It is still difficult to make the diagnosis of acute appendicitis in children with only clinical examination.Objectives: The present study, retrospectively reviewing the data of the patients that underwent appendectomy, aimed at emphasizingthe diagnostic value of ultrasonography findings by comparing them with pathological diagnosis.Patients and Methods: This retrospective study included patients aged under 18, who were operated on for appendicitis between 1January 2015 and 31 December 2015. The relationship between the pathology results of these patients and the results of preoperativeultrasonography performed for the diagnosis of acute appendicitis was investigated.Results: The study included 100 patients, 42 were female and 58 were male, on whom ultrasonography was performed and whosemean age was 11.3±3.7 years. While there were 28 (28%) patients who did not receive a definitive diagnosis of appendicitis pathologically, there were 43 (43%) patients in whom there were no ultrasonography findings supporting appendicitis. While appendicitisdiagnosis was made pathologically in 72 patients (72%), suggestive findings of appendicitis, such as compression and double wallthickness of the appendix (over 6 mm), were detected in 57 patients (57%). In addition, 42% periappendiceal fluid collection, 25% periappendicealfat inflammation, and 14% appendicolith were detected by ultrasonography. While 47 (65.3%) of the 72 patients withpathologically confirmed appendicitis received appendicitis diagnosis by ultrasonography, 25 (34.7%) did not (Pearson square testP = 0.007). The sensitivity and specificity of ultrasonography in the diagnosis of appendicitis were 66.6% (48/72) and 64.28% (18/28),respectively.Conclusions: According to the results of the current study, ultrasonography, in the diagnosis of appendicitis, should only be usedfor the support of clinical diagnosis or for differential diagnosis.
format	article
author	Ramazan Karabulut Zafer Turkyilmaz Kaan Sonmez Kıvanc Seref Aylar Poyraz Suna Ozhan Oktar Abdullah Can Basaklar
author_facet	Ramazan Karabulut Zafer Turkyilmaz Kaan Sonmez Kıvanc Seref Aylar Poyraz Suna Ozhan Oktar Abdullah Can Basaklar
author_sort	Ramazan Karabulut
title	Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy
title_short	Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy
title_full	Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy
title_fullStr	Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy
title_full_unstemmed	Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy
title_sort	comparison of preoperative ultrasonography and pathology results of patients undergoing appendectomy
publisher	Shiraz University of Medical Sciences
publishDate	2016
url	https://doaj.org/article/222a595995e743dbadf752c41ba4219e
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Comparison of Preoperative Ultrasonography and Pathology Results of Patients Undergoing Appendectomy

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