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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 635
Views PDF: 1466
DOI: https://doi.org/10.55046/vjrnm.29.473.2018
Issue
No. 29 (2018)
Section
Scientific research
How to Cite
Dinh, T. H., & Nguyen, D. H. (2022). Integration of ultrasound findings with Alvarado score in Adult with suspected acute appendicitis. Vietnamese Journal of Radiology and Nuclear Medicine, 29, 19-23. https://doi.org/10.55046/vjrnm.29.473.2018

Integration of ultrasound findings with Alvarado score in Adult with suspected acute appendicitis

Dr Dinh Thu Hang1, Dr Nguyen Duy Hue2
1 Hanoi Medical University,
2 Vietnam-Germany Hospital

Main Article Content

Abstract

The aim of this study was to investigate the integration of ultrasound (US) findings with Alvarado scorein diagnosing or
excluding acute appendicitis. Data were analyzed in 158 patients with suspected appendicitis at Viet Duc Hospital, who had undergone US. The USfindings were classified into four groups, and the patients were classified into three groups according to Alvarado score. US results and Alvarado score were compared. Alvarado score was a good predictor of appendicitis for scores ≥7. In the case of non-visualization of the appendix without a high Alvarado score, appendicitis can be safely ruled out.

Article Details

Keywords

ultrasound, Alvarado, acute appendicitis

References

1. Treutner, K.-H. and V. Schumpelick, Epidemiology of appendicitis. Der Chirurg, 1997. 68(1): p. 1-5.
2. Ebell, M.H., Diagnosis of appendicitis: part 1. History and physical examination. American family physician, 2008. 77(6): p. 828-830.
3. Incesu, L., et al., Acute appendicitis: MR imaging and sonographic correlation. AJR. American journal of roentgenology, 1997. 168(3): p. 669-674.
4. Doria, A.S., et al., US or CT for diagnosis of appendicitis in children and adults? A meta-analysis. Radiology, 2006. 241(1): p. 83-94.
5. Winn, R.D., et al., Protocol‐based approach to suspected appendicitis, incorporating the Alvarado score and outpatient antibiotics. ANZ journal of surgery, 2004. 74(5): p. 324-329.
6. Macklin, C., et al., A prospective evaluation of the modified Alvarado score for acute appendicitis in children. Annals of the Royal College of Surgeons of England, 1997. 79(3): p. 203.
7. Jeffrey Jr, R., F.C. Laing, and R.R. Townsend, Acute appendicitis: sonographic criteria based on 250 cases. Radiology, 1988. 167(2): p. 327-329.
8. Sivit, C.J., et al., Imaging evaluation of suspected appendicitis in a pediatric population effectiveness of sonography versus CT. American
Journal of Roentgenology, 2000. 175(4): p. 977-980.
9. Wiersma, F., A. Šrámek, and H.C. Holscher, US features of the normal appendix and surrounding area in children. Radiology, 2005. 235(3): p. 1018-1022.
10. Skaane, P., et al., Routine ultrasonography in the diagnosis of acute appendicitis: a valuable tool in daily practice? The American surgeon, 1997. 63(11): p. 937-942.
11. Lim, H.K., et al., Focal appendicitis confined to the tip: diagnosis at US. Radiology, 1996. 200(3): p. 799-801.
12. Ramachandran, P., et al., Ultrasonography as an adjunct in the diagnosis of acute appendicitis: a 4-year experience. Journal of pediatric surgery, 1996. 31(1): p. 164-169.
13. Puylaert, J.B., Ultrasonography of the acute abdomen. Radiologic Clinics, 2003. 41(6): p. 1227-1242.