Main Article Content
undue surgical interventions, Acute appendicitis, paediatric patients, hospital admissions
Introduction: Acute appendicitis is a common surgical emergency, with a prevalence of 112 per 100,000 people per year in Europe. In England alone, it accounts for more than 40,000 hospital admissions annually.Objectives: The main objective of the study is to finding the role of ultrasound and CT scan in reducing negative aappendectomy rate.Material and methods: This descriptive study was conducted in The royal Oldham Hospital, Greater Manchester during July 2021 to November 2021. The data was collected from 64 patients with age range 18 to 60 years.Results: The data was collected from 38 patients of which 7 (18.4%) were male and 31 (81.6) were female. The mean and standard deviation of age in years age was 12.5789 ± 3.10 years.Conclusion: It is concluded that ultrasonography is justified as an appropriate diagnostic tool in suspected cases of Acute appendicitis in paediatric patients to avoid undue surgical interventions.
2. Laméris W, van Randen A, Van Es HW, van Heesewijk JP, van Ramshorst B, Bouma WH, et al. Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. Bmj. 2009;338:b2431.
3. Almaramhy HH. Acute appendicitis in young children less than 5 years. Italian journal of pediatrics. 2017;43(1):15.
4. Benabbas R, Hanna M, Shah J, Sinert R. Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point‐of‐care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta‐analysis. Academic Emergency Medicine. 2017;24(5):523-51.
5. Reddan T, Corness J, Mengersen K, Harden F. Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding. Journal of medical radiation sciences. 2016;63(1):59-66.
6. Shrestha MS, Pant HP, Basnet SB, Khadka GB, Shahi RR, Panta S. Role of Graded Compression Ultrasonography in Evaluation of Acute Appendicitis. Medical Journal of Shree Birendra Hospital. 2013;12(2):49-53.
7. Quigley Aj, Stafrace,Samuel. ultrsound assessment ofacuteappendicitis in paediatric patients:methodology and pictorial overview of findings seen. insights into imaging. 2013:741-51.
8. Baldisserotto M, Marchiori E. Accuracy of noncompressive sonography of children with appendicitis according to the potential positions of the appendix. American Journal of Roentgenology. 2000;175(5):1387-92.
9. Mirza WA, Naveed MZ, Khandwala K. Utility and accuracy of primary and secondary ultrasonographic signs for diagnosing acute appendicitis in pediatric patients. Cureus. 2018;10(12)
10. Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, et al. How to diagnose acute appendicitis: ultrasound first. Insights into imaging. 2016;7(2):255-63.
11. Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI, et al. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA pediatrics. 2013;167(8):700-7.
12. Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. The Lancet. 2012;380(9840):499-505.
13. C. Limpawattanasiri Alvarado score for the acute appendicitis in a provincial hospital J Med Assoc Thai, 94 (2011), pp. 441-448
14. M.Y.P. Chan, C. Tan, M.T. Chiu, Y.Y. Ng Alvarado score: an admission criterion in patients with right iliac fossa pain Surgeon, 1 (2003), pp. 39-41
15. Jaremko JL, Crockett A, Rucker D, Magnus KG. Incidence and significance of inconclusive results in ultrasound for appendicitis in children and teenagers. Canadian Association of Radiologists' Journal. 2011;62(3):197-202.
16. Daga S, Kachewar S, Lakhkar DL, Jethlia K, Itai A. Sonographic evaluation of acute appendicitis and its complications. West African Journal of Radiology. 2017;24(2):152.
17. Wiersma F, Toorenvliet BR, Bloem JL, Allema JH, Holscher HC. US examination of the appendix in children with suspected appendicitis: the additional value of secondary signs. European radiology. 2009;19(2):455-61.
18. Thirumoorthi AS, Fefferman NR, Ginsburg HB, Kuenzler KA, Tomita SS. Managing radiation exposure in children—reexamining the role of ultrasound in the diagnosis of appendicitis. Journal of pediatric surgery. 2012;47(12):2268-72.
19. Cundy TP, Gent R, Frauenfelder C, Lukic L, Linke RJ, Goh DW. Benchmarking the value of ultrasound for acute appendicitis in children. Journal of pediatric surgery. 2016;51(12):1939-43.
20. Puylaert J. Acute appendicitis: US evaluation using graded compression. Radiology. 1986;158(2):355-60.