Role of Graded Compression Ultrasonography in Evaluation of Acute Appendicitis.

Abstract

Introduction: Acute appendicitis is common surgical emergency which can lead to high morbidity and mortality in absence of timely treatment. Ultrasonography (USG) is commonly used to diagnose appendicitis and exclude other intraabdominal pathology leading to right iliac fossa pain in emergency setting. We aimed to Þ nd out the diagnostic value of graded compression USG in suspected appendicitis cases. Methods:Altogether 107 patients with clinical impression of acute appendicitis were followed. Four cases were excluded because of other diagnosis established in USG. Appendicitis was diagnosed by standard criterias of inß ammed appendix by graded compression technique. Informations of 103 cases were recorded in proforma which was later entered in SPSS and statistical calculations done.Results: Out of 103 cases followed, 93 had appendicitis. Of those, 46 cases only showed inß ammed and distended appendix, others showed ancillary features only. Males were more affected 61(65.6%) than females. Sensitivity, speciÞ city, positive predictive value, negative predictive value and accuracy of ultrasound in detecting appendicitis were 98.9%,90%,98.9%,90% and 97.1% respectively. Conclusions:Graded compression ultrasonography is good investigation modality in assessement of suspected acute appendicitis.

Sonographic Evaluation of Cholelithiasis in Diabetic Patients at District Swabi

“…The cross-sectional design, while effective for determining prevalence, does not allow for conclusions about causality between diabetes and gallstone disease. Additionally, the study was confined to a single geographic area, which might limit the generalizability of the findings to other populations (17)(18)(19). Further research is recommended to explore the causal relationships in a longitudinal framework, which could provide insights into the progression of gallstone disease over time in diabetic versus non-diabetic individuals.…”

“…The study's implications for clinical practice are significant, suggesting that diabetic patients, particularly those experiencing right hypochondriac pain, should be considered for routine gallstone screening. This could potentially lead to earlier detection and management of gallstone disease, thereby improving patient outcomes and reducing the healthcare burden associated with complications of untreated gallstones (17)(18)(19)(20).…”