Ultrasonography in the diagnosis of acute appendicitis

Objective: To evaluate the role of sonography in diagnosis ofacute appendicitis, with an emphasis on early evolution cases.Methods: From 240 cases with the diagnosis of appendicitis, aretrospective study of 149 patients submitted to appendicectomyat the Hospital Israelita Albert Einstein, in 2002, w...

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Main Authors: Luciano Augusto Botter, George Rachid Oliveira, Janos Lima de Farias, Alexandre Maurano, Rodrigo Gobbo Garcia, Marcos Roberto de Queiroz, Marcelo Rocha Silva, Miguel José Francisco Neto, Marcelo Buarque Gusmão Funari
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2005-09-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.einstein.br/revista/biblioteca/artigos/vol3/num_3/Vol3_N3_P185.pdf
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spelling doaj-2497ec6cf3b54a7480b8073f30a37a912020-11-24T21:56:34ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082005-09-0133185189Ultrasonography in the diagnosis of acute appendicitisLuciano Augusto BotterGeorge Rachid OliveiraJanos Lima de FariasAlexandre MauranoRodrigo Gobbo GarciaMarcos Roberto de QueirozMarcelo Rocha SilvaMiguel José Francisco NetoMarcelo Buarque Gusmão FunariObjective: To evaluate the role of sonography in diagnosis ofacute appendicitis, with an emphasis on early evolution cases.Methods: From 240 cases with the diagnosis of appendicitis, aretrospective study of 149 patients submitted to appendicectomyat the Hospital Israelita Albert Einstein, in 2002, was carried out.The appendix of these 149 patients was visualized in apreoperative sonography and the diagnosis was confirmed byhistological examination. Patients were distributed into twogroups - initial and advanced - according to the measure of thelargest external diameter of the appendix. The statistical dataanalysis included demographic information (sex and age) anddirect and indirect signs of acute appendicitis. Results: Therewere more cases of acute appendicitis in the groups aged 10-30years, mean age of 18.3 years in the initial group and 26.4 yearsin the advanced group. There was no statistically significantdifference regarding sex. The advanced group presented 4.5%of false-positive results and the initial group, 23.1%. Among thedirect signs, non-compressibility of the appendix stood out andwas observed in more than half cases; with regard to indirectsigns, hyperechogenicity of periappendiceal tissues wasobserved in up to 75% of cases in both groups. Conclusion: Therewas a statistically significant difference in false-positive cases,which were more often observed in the initial group. Therefore,sonographic follow-up is recommended in these cases.http://www.einstein.br/revista/biblioteca/artigos/vol3/num_3/Vol3_N3_P185.pdfAppendicitis/diagnosisAppendicitis/radiographyAppendicitis/ultrasonography
collection DOAJ
language English
format Article
sources DOAJ
author Luciano Augusto Botter
George Rachid Oliveira
Janos Lima de Farias
Alexandre Maurano
Rodrigo Gobbo Garcia
Marcos Roberto de Queiroz
Marcelo Rocha Silva
Miguel José Francisco Neto
Marcelo Buarque Gusmão Funari
spellingShingle Luciano Augusto Botter
George Rachid Oliveira
Janos Lima de Farias
Alexandre Maurano
Rodrigo Gobbo Garcia
Marcos Roberto de Queiroz
Marcelo Rocha Silva
Miguel José Francisco Neto
Marcelo Buarque Gusmão Funari
Ultrasonography in the diagnosis of acute appendicitis
Einstein (São Paulo)
Appendicitis/diagnosis
Appendicitis/radiography
Appendicitis/ultrasonography
author_facet Luciano Augusto Botter
George Rachid Oliveira
Janos Lima de Farias
Alexandre Maurano
Rodrigo Gobbo Garcia
Marcos Roberto de Queiroz
Marcelo Rocha Silva
Miguel José Francisco Neto
Marcelo Buarque Gusmão Funari
author_sort Luciano Augusto Botter
title Ultrasonography in the diagnosis of acute appendicitis
title_short Ultrasonography in the diagnosis of acute appendicitis
title_full Ultrasonography in the diagnosis of acute appendicitis
title_fullStr Ultrasonography in the diagnosis of acute appendicitis
title_full_unstemmed Ultrasonography in the diagnosis of acute appendicitis
title_sort ultrasonography in the diagnosis of acute appendicitis
publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
series Einstein (São Paulo)
issn 1679-4508
publishDate 2005-09-01
description Objective: To evaluate the role of sonography in diagnosis ofacute appendicitis, with an emphasis on early evolution cases.Methods: From 240 cases with the diagnosis of appendicitis, aretrospective study of 149 patients submitted to appendicectomyat the Hospital Israelita Albert Einstein, in 2002, was carried out.The appendix of these 149 patients was visualized in apreoperative sonography and the diagnosis was confirmed byhistological examination. Patients were distributed into twogroups - initial and advanced - according to the measure of thelargest external diameter of the appendix. The statistical dataanalysis included demographic information (sex and age) anddirect and indirect signs of acute appendicitis. Results: Therewere more cases of acute appendicitis in the groups aged 10-30years, mean age of 18.3 years in the initial group and 26.4 yearsin the advanced group. There was no statistically significantdifference regarding sex. The advanced group presented 4.5%of false-positive results and the initial group, 23.1%. Among thedirect signs, non-compressibility of the appendix stood out andwas observed in more than half cases; with regard to indirectsigns, hyperechogenicity of periappendiceal tissues wasobserved in up to 75% of cases in both groups. Conclusion: Therewas a statistically significant difference in false-positive cases,which were more often observed in the initial group. Therefore,sonographic follow-up is recommended in these cases.
topic Appendicitis/diagnosis
Appendicitis/radiography
Appendicitis/ultrasonography
url http://www.einstein.br/revista/biblioteca/artigos/vol3/num_3/Vol3_N3_P185.pdf
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