EFFICACY OF COMPUTED TOMOGRAPHY TO ULTRASONOGRAPHY IN SUBJECTS WITH ACUTE APPENDICITIS

Abstract

Background: A common cause of severe abdominal pain that commonly presents as an emergency is appendicitis. On a clinical basis, ruling out acute appendicitis can be difficult because of the many conditions that mimic the illness. This highlights how important imaging is to the diagnosis process. 

Aim: to assess the diagnostic performance of ultrasonography and computed tomography (CT) for acute appendicitis, and to determine if the radiologic findings were associated with surgical and histological results.

Methods: A comparison was made between computed tomography and ultrasonography for 65 female and aged volunteers who had been clinically diagnosed with acute appendicitis. Ultrasonography and contrast-enhanced computed tomography (CECT) were done under the same circumstances on every subject. Each patient's main complaint was discomfort in the lower abdomen, with fever and vomiting coming up less frequently. The outcomes of both radiographs were correlated with the histology specimens after the appendectomy. 

Results: Normal results indicated that 84.61% (n=550) of the study subjects had both positive histology and ultrasonography, whereas 9.23% (n=6) of the patients had both negative ultrasonography and histopathology, and 86.15% (n=56) of the research subjects had both characteristics. Histology and ultrasonography revealed that 6.15% (n=4) of the study participants had negative results, 4.61% (n=3) had positive results, and 1.53% (n=1) of the participants had appendicitis.

Conclusion: According to the current study, an ultrasound should be done on every patient who presents with acute appendicitis. Nonetheless, CECT offers the benefits of precise identification, assistance in surgical planning based on anatomical landmarks and presentations, and elimination of other diagnoses linked to right iliac fossa discomfort in patients with unrecognised or ambiguous findings.