THE VALUE OF ULTRASOUND IN THE DIAGNOSIS OF ACUTE APPENDICITIS AND MIMICKING CONDITIONS

Authors

Abdul Karim Al-Zabedi, Departments of Radiology and Surgery, Faculty of Medicine, Sana'a University The Military Hospital, The Yemen Germany Hospital Sana'a, Yemen Republic
Ahmed Al-Hadrani, Departments of Radiology and Surgery, Faculty of Medicine, Sana'a University The Military Hospital, The Yemen Germany Hospital Sana'a, Yemen Republic
Mansour Ataa, Departments of Radiology and Surgery, Faculty of Medicine, Sana'a University The Military Hospital, The Yemen Germany Hospital Sana'a, Yemen Republic
Mohamed Gouda, Departments of Radiology and Surgery, Faculty of Medicine, Sana'a University The Military Hospital, The Yemen Germany Hospital Sana'a, Yemen Republic

Article Type

Original Study

Abstract

Purpose : To evaluate the role of ultrasound in the diagnosis of acute appendicitis, especially, atypical cas­es and mimicking conditions. Patient and Methods : This is a prospective controlled study of 858 patients with suspected acute appen­dicitis and 240 controls. All patients and controls underwent ultrasono-graphic examination, then divided into 3 groups : group I (284 patients) who were proved sonographically and sur­gically that they have acute appendi­citis, group II (574 patients) who proved to have acute abdominal con­ditions other than appendicitis includ­ing cases with false negative and false positive results by US, group III (240 controls). and Results : In group I the inflamed appendix appeared as hypoechogen-ic shadow with thick fluid collection in­side the lumen. The diameter of the wall and lumen of the inflamed ap­pendix was ranging between 4 to 35 mm. Early cases were characterized sonographically by thickening of the wall of the appendix between, 4 to 6 mm, non-compressible aperistaltic appendix, in homogeneous content and sometimes faecolith or gas inside the lumen, late cases were character­ized by thickening of the appendicu-lar wall > 6 mm, free liquid collec­tions

Recommended Citation

Al-Zabedi, Abdul Karim; Al-Hadrani, Ahmed; Ataa, Mansour; and Gouda, Mohamed (2008) "THE VALUE OF ULTRASOUND IN THE DIAGNOSIS OF ACUTE APPENDICITIS AND MIMICKING CONDITIONS," Mansoura Medical Journal: Vol. 37 : Iss. 1 , Article 14.
Available at: https://doi.org/10.21608/mjmu.2008.129195

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