No abstract available.
Appendicitis* ; Diagnosis*

No abstract available.
Appendicitis* ; Diagnosis*

The study was conducted on 150 patients (82 males, 68 females) with acute appendicitis these were undergone appendectomy at the Military Central Hospital 108 between January 1998 and December 1999. These patients were examined retrospectively using Alvarado Practical Score combined with rate of neutrophil to lymphocyte more than 3.5. Mean age of patients was 3719.86 years (ranged from 92 to 2 years). Time from disease onset to operation is 20.8814.54 hours. The Alvarado practical score was applied easily, simple and appropriate for health clinics without modern equipment. For patient group in this study, the Alvarado practical score provided the sensitivity of 96.2% and specificity of 57.1% in diagnosis of acute appendicitis. Rate of neutrophil to lymphocyte produced the sensitivity of 73.6% and specificity of 85.7%. There was significant gender difference in diagnosis of acute appendicitis. Male is sevenfold more likely to be diagnosed accurately than female.
Appendicitis ; diagnosis

No abstract available.
Appendicitis* ; Diagnosis*

Study on 35 patients with ages of 10 suspected with the appendicitis diagnosed by ultrasound. The results have shown that the appendicitis most frequently occurred in persons with ages of 21-60. The diameter of appendicitis was about 8-10 mm by ultrasound. There was no suitability between ultrasound and operation for symptoms of fluid in the terminal bag of Douglas and pelvic cavity.
Appendicitis ; ultrasonography ; diagnosis

Advance study on 50 patients (male:22; female: 28) with appendicitis in the army central hospital 108 during 8/1999-8/2000. The patients received the abdominal endoscopy before operation, ages of 36,42+/- 18,62 oldest: 74, youngest:9. 46/50(92%) patients with the positive cytopathological diagnosis and 4/50 (8%) with the negative cytopathological diagnosis. These 4 patients were women. 3/4 patients diagnosed as cystic rupture of digraph, 1/4 received negative appendectomy. The correct clinical rate of diagnosis was 92%. The correct rate of laparoscopic diagnosis was 49/50= 98%, the sensitivity: 100%, the specificity: 75%. That reported that the laparoscopy(endoscopy) is very important method of diagnosis that reduces significantly the rate of the negative appendectomy.
Endoscopy ; appendicitis ; diagnosis

Although the ultrasonography has been regarded as a important procedure in the diagnosis of intraabdominalabscess, there were relatively few papers concerning the ultrasonographic findings of periappendiceal abscess.Nineteen cases of surgically proven periappendiceal abscess caused by perforated appendicitis were studied byultrasonography at the Kyung Hee University Hospital during last 34 months. The results were as follows; 1.Diagnostic accuracy of the real-time ultrasonography was 94.7%(18/19). There were only one false positive and onefalse negative. 2. The location of abscesses were ; periappendiceal 68.4%(13/19), pelvic 21.0%(4/19), subhepatic5.3%(1/19) and subphrenic 5.3%(1/19) in order of frequency. 3. Variable echo-patterns of abscesses wereencountered. But irregular, thick walled, posteriorly reinforcing, echo-free or mixed echo-patterns were mostcommon.
Abscess ; Appendicitis ; Diagnosis ; Ultrasonography

Tuboovarian abscess associated with pregnancy is not commonly reported. Diagnosis may be difficult if the obstetrician is not aware that this condition can occur during pregnancy. The diagnosis is often made at laparotomy by a physician expecting appendicitis or another inflam-matory condition. A case of ruptured tuboovarian abscess on 34 weeks' gestation of pregnancy was presented and reviewed briefly.
Abscess* ; Appendicitis ; Diagnosis ; Laparotomy ; Pregnancy*

Adult ; Appendicitis ; diagnosis ; Endometriosis ; diagnosis ; Female ; Humans

PURPOSE: Acute appendicitis is one of the most common surgical diseases and the accuracy of diagnosis has been reported to be between 71% and 85%. In this study we tried to determine whether abdominal sonographic examination is critical to the decision to operate and whether its use is essential before surgery of patients with clinically diagnosed or suspected acute appendicitis. METHODS: A total of 552 patients with clinically diagnosed acute appendicitis from January 2000 to December 2001 were enrolled in this study. All patients underwent an abdominal graded compression sonography performed by a staff radiologist. RESULTS: A total of 535 patients (96.9%) with positive findings of appendicitis proceeded to surgery. 17 patients (3.1%) were found to have other diseases. Of the 535 patients undergoing operation, 531 (99.3%) were proved to have appendicitis by pathologic reports. The 17 patients with negative findings in sonography underwent operation or CT examination; 12 (70.6%) were proved to have appendicitis. Abdominal sonography for detecting acute appendicitis had a sensitivity of 97.8%, a specificity of 55.6%, an accuracy of 97.1%, a positive predictive value of 99.3%, and a negative predictive value of 29.4%. CONCLUSION: Abdominal sonography is therefore one of the most useful examinations in diagnosing acute appendicitis before surgery and our experience suggests that patients with clinically suspected acute appendicitis should routinely undergo abdominal sonographic examination.
Appendicitis* ; Diagnosis ; Humans ; Sensitivity and Specificity ; Ultrasonography