Abstract
Background: The most prevalent cause of abdominal pain is acute appendi-citis. When diagnosing quickly, imaging techniques like ultra-sonography are safer for all age groups.
Aims & objectives: In our study, we evaluated how well ultra-sonography identified cases of acute appendi-citis.
Material & Methods: On a USG machine, 1000 patients with AA in various age groups were examined. Using a high frequency linear array transducer (4–12 MHz) and a defined approach incorporating graduated compression technique, the patient's partially filled urine was analysed. Right lower quadrant longitudinal and transverse pictures were acquired. The appearance of the appendix under compression was documented during compression sonography. The tip was included in the visualisation of the entire appendix. Retrospective evaluation of USG findings was assessed using a five point system, with categorys 1 and 2 being categorised as negative and categorys 3 to 5 being considered as positive. surgical/ pathological findings and sonographic diagnosis were contrasted.
Results: The biggest number of patients, or 204, were in the fifth category among 11 to 20-year-olds, followed by 110 patients in the sixth category and 210 cases in the fifth category, while the fewest cases of AA were found among people over 50. Out of 1000 sonographically diagnosed patients who had surgery and had surgical/pathological results, there were 664 true positives, 264 true negatives, 64 false positives, and 8 negatives.
Conclusion: First-line imaging modality is USG study. Due to its restricted range of sensitivity, USG is preferred in patients who are young and have children. Middle class patients can readily afford the USG method.
Keywords: Acute appendi-citis, Sonography, Ultrasound, USG category scale.