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Original Article

Author(s): Sharma NK, Dey SN, Biswas SK, Urmee SH

PAH Med Col J. Jan 2025; 2(1): 13-19

Abstract

Background: Appendicitis often necessitates emergency surgery, but diagnosis can be challenging without classic symptoms. Diagnosis is supported by ultrasound, complete blood count, CRP testing, and computed tomography, with ultrasound preferred due to its safety.

Objective: To analyze the utility of sonography in identifying severe acute appendicitis and to examine its relationship with patient age.

Methods: A cross-sectional study evaluated the role of ultrasonography in detecting acute and severe appendicitis at Community Medical College and Hospital, Mymensingh, Bangladesh, over one year (September 2023 to August 2024). It involved 150 patients, with 113 diagnosed with severe acute appendicitis, with histological confirmation in 100 of 113 cases.

Results: The 16-25 age group had the highest incidence of severe acute appendicitis (44% of cases). The majority of patients were male (60%). Ultrasound showed the appendix in 95% of cases, with a target sign in 95%, and 100% had sonographic McBurney’s tenderness. USG accuracy included a sensitivity of 94.24% and a specificity of 91.7%, with an overall diagnostic accuracy of 92.1%.

Conclusion: Ultrasonography is an effective, non-invasive, and cost-efficient tool for diagnosing acute appendicitis, helping reduce unnecessary surgeries and aiding timely decision-making. Younger males are more frequently affected by appendicitis.

Keywords

Diagnostic, Ultrasonography, Severe Acute Appendicitis, Correlation

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How to cite: Sharma NK, Dey SN, Biswas SK, Urmee SH. Diagnostic Role of Ultrasonography in Severe Acute Appendicitis and Correlation with Age. PAH Med Col J. Jan 2025; 2(1): 13-19.