Mousa, K., Al-Kawaz, S. (2023). The Role of Secondary Sonographic Signs in Diagnosis of Acute Appendicitis in Pediatric Patients. , 22(3), 274-279. doi: 10.52573/ipmj.2023.181133
Khalid Kadhum Mousa; Shatha Abdul Amier Al-Kawaz. "The Role of Secondary Sonographic Signs in Diagnosis of Acute Appendicitis in Pediatric Patients". , 22, 3, 2023, 274-279. doi: 10.52573/ipmj.2023.181133
Mousa, K., Al-Kawaz, S. (2023). 'The Role of Secondary Sonographic Signs in Diagnosis of Acute Appendicitis in Pediatric Patients', , 22(3), pp. 274-279. doi: 10.52573/ipmj.2023.181133
Mousa, K., Al-Kawaz, S. The Role of Secondary Sonographic Signs in Diagnosis of Acute Appendicitis in Pediatric Patients. , 2023; 22(3): 274-279. doi: 10.52573/ipmj.2023.181133

The Role of Secondary Sonographic Signs in Diagnosis of Acute Appendicitis in Pediatric Patients

Iraqi Postgraduate Medical Journal
Article 6, Volume 22, Issue 3, July 2023, Pages 274-279    PDF (196.94 K)
DOI: 10.52573/ipmj.2023.181133
Authors
Khalid Kadhum Mousa* 1; Shatha Abdul Amier Al-Kawaz2
1Al-Rusafa Health Directorate Ibn Al-Balady Hospital Pediatric surgery department
2Baghdad Medical City/ Children Welfare Teaching Hospital/ Pediatric Surgery Department
Abstract
BACKGROUND:
Appendicitis is the commonest surgical emergency in pediatric patients. Although the diagnosis is mainly clinical, imaging studies can be used to enhance diagnosis. Ultrasound is widely used as               a screening tool because it is readily accessible in most centers, cost effective, and radiation free, but still there is a percentage of (equivocal study), so searching for secondary inflammatory sonographic signs may enhance the diagnosis.
AIM OF STUDY:
To assess the role of secondary sonographic signs in diagnosis of acute appendicitis in pediatric patients.
PATIENTS & METHOD:
This is a prospective study involved 187 patients (121 males, 66 females) done in Baghdad Medical city/ Children Welfare Teaching Hospital /Pediatric Surgery department between November 2018 and November 2019, all presented with abdominal pain mainly at right iliac fossa, patients sent for abdominal ultrasound, complete blood count, urinalysis, and histopathological examination of surgical specimens.
RESULTS:
Secondary signs have sensitivity of 53.7%, specificity of 80.0%, PPV of 97.9%, NPV of 8.9%, and accuracy of 55.1%.
There is significant statistical difference in rate of detecting SS (p-value=0.038).
CONCLUSION:
Secondary signs have high specificity but fair or low sensitivity. Multiple secondary signs in one patient make the ultrasound more valuable in diagnosis.
 
Keywords
Appendicitis; Ultrasound; Secondary sonographic signs
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