ArticlePolish journal of radiology2017
Diagnosis of Acute Appendicitis Using Clinical Alvarado Scoring System and Computed Tomography (CT) Criteria in Patients Attending Gujarat Adani Institute of Medical Science - A Retrospective Study.
Article in Polish journal of radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Article
- Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques.Polish journal of radiology · 2020Article
- A pictorial essay of the most atypical variants of the vermiform appendix position in computed tomography with their possible clinical implications.Polish journal of radiology · 2019Review
- Negative Appendectomy Rate and Risk Factors That Influence Improper Diagnosis at King Abdulaziz University Hospital.Materia socio-medica · 2018Article
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2 authors.
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Abstract
backgroundThe aim was to evaluate the clinical Alvarado scoring system and computed tomography (CT) criteria for the diagnosis of acute appendicitis. MATERIAL/
methodsThe study was carried out retrospectively in patients who were referred to the Institute between March 2014 and January 2015. One hundred seventeen patients with acute abdominal pain who underwent abdominal CT were enrolled in this retrospective study. Patient demographics, clinical Alvarado scoring, CT images, and pathologic results of the patients were evaluated.
resultsThirty nine of the 53 patients who were operated on had pathologically proven acute appendicitis. CT criteria of appendiceal diameter, presence of periappendiceal inflammation, fluid, appendicoliths, and white blood cell count (WBC) were significantly correlated with the inflammation of the appendix. The optimal cut-off value of the appendiceal diameter was 6.5 mm. The correlation between appendiceal diameter and WBC was 80% (
conclusionsPresence of appendiceal diameter above 6.5 mm on CT, periappendiceal inflammation, fluid, and appendicoliths should prompt the diagnosis of acute appendicitis. Since patients with acute appendicitis may not always show the typical signs and symptoms, CT is a helpful imaging modality for patients with relatively low Alvarado scores and leukocytosis, when physical examination is confusing.
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