Abstract
Introduction: Acute appendicitis is one of the most common surgical emergency making up to 10%of all emergency abdominal surgeries. It is difficult to diagnose acute appendicitis in young, elderly patients and female of reproductive age group because they have atypical presentation. No investigation is fool proof combination of clinical history, physical examination and laboratory studies lead to development of several scoring systems.
Material and Methods: 60 subjects of both age and sex presenting with pain in right iliac fossa and suspected to have acute appendicitis enrolled for the study.
Result: These findings were statistically significant. (p value <0.05) Sensitivity of the ANDERSON scoring system in the study was 76.6%, specificity came out to be 100%. The positive and negative values were 100% and 21.43% respectively.. Apart from ALVARDO and modified ALVARDO score Anderson score (appendicitis inflammatory response score ) was developed with better sensitivity and specificity for diagnosis of appendicitis
Conclusion: Anderson score (appendicitis inflammatory response score) was developed with better sensitivity and specificity for diagnosis of appendicitis.
Keywords: Acute Appendicitis, Anderson Score, Alvardo and modified ALVARDO score
References
- Al-Hashemy AM, Seleem MI. Appraisal of the modified Alvarado score for acute appendicitis on adults. Saudi Med J 2004; 25: 1229-31.
- Ali N, Rasul S, Mehmood Z, Inamullah, Khan A. Value of total leucocyte count and Creactiveproteins in the diagnosis of acute appendicitis. J Surg Pak 2009;14:153-6.
- Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15: 557-64.
- Anderson RE. Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg. 2004;91:28-37.
- Burger TO, Torbert HC. Problems in the diagnosis of acute appendicitis. Cal West Med 1939 Jan; 50(1):7-11.
- Eriksson S, Granstrom L, Carlstrom A. The diagnostic value of repetitive preoperative analyses of C-reactive protein and total leucocyte count in patients with suspected acute appendicitis. Scand J Gastroenterol 1994;29:1145-9.
- Horton MD, Counter SF, Florence MG, Hart MJ. A prospective trail of computed tomography and ultrasonography for diagnosing appendicitis in the atypical patient. Am J Surg 2000; 179:379-81.
- Pal KM, Khan A. Appendicitis, a continuing challenge. J Pak Med Assoc. 1998; 48:189- 92.
- Kanumba ES, Mabula JB, Rambaau P, Chalya PL. Modified Alvarado Scoring System as a diagnostic tool for Acute Appendicitis at Bugando Medical Centre, Mwanza, Tanzania. BMC Surg 2011; 11:4.
- Rajendra B. Incidence of various physical signs in acute appendicitis. Indian J Surg 1998; 40:14.
- Shafi SM, Afsheen M, Reshi FA. Total leucocyte count, C-reactive protein and neutrophil count: diagnostic aid in acute appendicitis. Saudi J Gasteroenterol 2009; 15:117-20.
- Samad A, Kumar B, Khanzada TW, Lohana D. Appropriate cut off value of Alvarado scores for patients undergoing appendectomy in Isra University Hospital, Hyderabad. Isra Med J 2009 Aug; 1(2):36-9.
- M.M. de Castro, E. Ph. Stellar, B.A. van Wagensveld, B.C. Vrouenraets. Evaluaton of the Appendicitis Inflammatory Response Score for Patients with Acute Appendicitis. World J Surg 2012; 36(7): 1540-5.
- WY, Ho YC, Chu KW, Yeung C. Leucocyte count and neutrophil percentage in appendicectomy for suspected appendicitis. Aust N Z J Surg 1989;59(5):395-8.
Corresponding Author
Dr Sahjanand Prasad Singh
Associate Professor & HOD, Department of General Surgery, Vardhman Institute of Medical Sciences(VIMS) , Pawapuri, Nalanda, Bihar-803115
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.21
