Keywords:
Emergency, Abdomen, Ultrasound, Ultrasound-Colour Doppler, Ultrasound-Power Doppler, Image compression, Surgery, Inflammation, Infection, Acute
Authors:
N. Kokhanovsky, A.-R. Zeina, N. Reindorp, A. Levit-Kantor, Y. Glick, A. Nachtigal; Hadera/IL
DOI:
10.1594/ecr2013/B-0129
Results
In the 68 cases included in our series,
2 patients (2.9%) had nondiagnostic exams: one was obese and over 34 weeks pregnant and other was 36 weeks pregnant.
Of the 66 remaining cases,
4 patients (6.1%) had positive sonographic findings of acute appendicitis.
Sonographic findings were correlated with surgical findings and clinical follow-up.
The diagnosis was confirmed intraoperatively in all 4 patients (100%).
In the 62 patients with negative sonographic findings for acute appendicitis,
the result for 1 patient (1.6%) proved false-negative (surgery confirmed acute appendicitis),
whereas the remaining 61 (98.4%) improved on clinical follow-up.
Moreover,
in 4 out of the 62 patients with negative sonographic findings for acute appendicitis,
a different pathologic finding such as acute pyelonephritis was identified.