Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Study of Preoperative Diagnosis by Clinical and Sonological Evaluation Versus Intra Operative Findings in Diagnosis of Acute Appendicitis
Sri Hari Karthik Ram Pingali, Siddarth Hegde, Kaushal Shetty and Shazia Sheik
Page: 464-468 | Received 10 Apr 2024, Published online: 20 Jun 2024
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Abstract
Acute appendicitis constitute a third of all the cases who get hospitalized with the acute surgical abdomen. The Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) which was initially designed for use exclusively with the Asian population, is broader and simpler and consists of seventeen items. Studies using RIPASA Score in Indian setup is limited and found variable validity in screening of acute abdomen. Hence this study was conducted the objective to compare the clinical diagnosis of suspected appendicitis cases using RIPASA scores and sonological evaluation. The present study was done at Department of general surgery, Srinivas Institute of Medical Sciences and Research Centre, Mukka, Mangaluru during September 2020‐September 2022. Subjects were evaluated clinically and if found to be a suspected case of appendicitis, then RIPASA scoring system were utilized and findings were noted. Then the subjects were subjected to routine investigations and sonological investigations to establish the diagnosis. In case the sonological evaluation was negative for appendicitis but a thorough clinical evaluation is strongly suggestive of acute appendicitis, then the subject was considered for surgical management. During intra op, findings of acute appendicitis were noted and finally compared with sonological findings. Data was analyzed using SPSS version 22 (IBM SPSS Statistics, Somers NY, USA). In the present study 125 subjects with pain abdomen were included. Among them majority of subjects were in the age group 18‐20 years (36%). Males were in majority 64%. Male: Female ratio was 1.77:1. Pain abdomen was present in all the subjects, vomiting was the next most common symptom at presentation (47.2%). RIPASA Score had a Sensitivity of 94.74%, Specificity of 66.67% and Accuracy of 88.00% in diagnosis of acute appendicitis. RIPASA Score has good Sensitivity and a moderate Specificity in the diagnosis of acute appendicitis. Hence RIPASA score can be used as an alternative for USG in screening of acute abdomen.
How to cite this article:
Sri Hari Karthik Ram Pingali, Siddarth Hegde, Kaushal Shetty and Shazia Sheik. Comparative Study of Preoperative Diagnosis by Clinical and Sonological Evaluation Versus Intra Operative Findings in Diagnosis of Acute Appendicitis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.464.468
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.464.468