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Abstract

Evaluation of Multislice-CT compared with Ultrasound Abdomen and Pelvis in Diagnosis of Acute Appendicitis in Female of Reproductive Age

Appendicitis is the commonest causes of the acute abdominal pain and most frequent causes for an urgent abdominal surgical operation. Recently, it is clarified that the appendix may have an immune-protective function and working as a lymphoid organ especially in young age. Other theories claimed that appendix work as storage for "good" colonic bacteria. Moreover, others theories claimed that it is a just developmental remnant and without function. The present investigation was done between March 2016 and July 2019, and including 60 female patients in reproductive age who clinically suspected as acute appendicitis with Alvarado score. Then, the female patients were divided to 2 groups; Group A, including 30 patients, the primary diagnosis based on Alvarado score with pelvic-bdominal sonography and group B, including 30 patients, the primary diagnosis of acute appendicitis depend up on Alvarado score and multislicepelviabdominal CT. All patients in the 2 groups were complaining from acute rtlower abdominal pain with Alvarado score more than 3. All patients in the 2 groups diagnosed of acute appendicitis were managed by open appendicectomy. Postoperative final results were depended on the histopathological evaluations of the samples. Multislice-pelvi-abdominal CT play an important role in diagnosis of acute appendicitis in female patients and it is more sensitive and specific than the modified Alvarado score plus US abdomen and pelvis. CT abdomen and pelvis rule out other pelvic pathology, and so lowering the high rates of -veappendicectomy and increase accuracy of final diagnosis of acute appendicitis.


Author(s):

Mohamed Aly El-Horbity*, Mohamed A. El-Naggar, Mohamed Abdallah Zaitoun and Hala A. Tabl



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