• Diagnosis of Acute Appendicitis by Using Modified Alvarado Score ….…....…….
Kerbala Journal of Medicine,
Volume 4, Issue 10, Pages 1151-1161
Abstractbackground: About 7% of population suffers from acute appendicitis during their life time. The number of unnecessary operations regarding appendicitis particularly in female reaches 45%. Perforation rates ranging from 4% up to 45% in adult and from 30% up to 60% in children.
Aim: To evaluate the sensitivity and accuracy of the Alvarado score in pre operative diagnosis of acute appendicitis.
Patients and method: A series of 129 patients, were studied prospectively over a period of 20 months starting from May 2007 to December 2008 in AL – Hilla teaching hospital. A questionnaire used in this study includes sex, age, duration of presentation in addition to seven predictive values constituting the Alvarado score.
Result: We had 79/ 129 male patients (61.24%) and 50 /129 female patients (38.75%). All of them underwent appendicectomy .106 /129 patients had histological diagnosis of appendicitis (82.17%) they were 70/106 males (66%) and 36/106 females (34%).and the rest 23/129 patients had normal appendix improved histologicaly ( 17.83%) they were 9/23 males (39%) 2 of them were have pathology ( meckles diverticulum )and 7 of them were have no pathology and 14/23 females (60%) 7 of them were have pathology ( twisted or rupture ovarian cyst ) and 7 were had no pathology. The mean age was 23.9 years.
Conclusion: A high score rate was found to be an easy and satisfactory aid in the early diagnosis of acute appendicitis.
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