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Diagnosis of Acute Appendicitis in Sub-Saharan Africa

Open Journal of Medical Imaging 2018年第1期8卷 1-9页

作者： Nina-Astrid Nde ouedraogo Souleymane ouedraogo Bénilde Marie Ange Tiemtore Kambou adams ouedraogo Adama Sanou Service de Radiodiagnostic H&ocirc pital de District de Bogodogo Ouagadougou Burkina Faso Unité de Formation et de Recherche des Sciences de la Santé Université Ouaga 1 Pr Joseph Ki-Zerbo Ouagadougou Burkina Faso Service de Chirurgie Générale Centre Hospitalier Universitaire Blaise Compaore Ouagadougou Burkina Faso

Objective: The aim of our study was to propose a solution for rationalizing requests for ultrasound examination and CT scan in suspected acute appendicitis, based on use of the Alvarado score. Patients and Methods: We included in our study all patients consulting for pain of the right iliac fossa, whatever their age and sex, who had been diagnosed with acute appendicitis and who had undergone appendectomy. We used the Alvarado scoring system, based on clinical items and laboratory measurements, to diagnose appendicitis. Results: One hundred eleven patients, of whom 77 were men (69.4%) and 34 were women (30.6%), with a sex ratio of 2:2.6, were included. Mean age was 31.29 ± 1.31 years, with a range of 1 to 81 years. The diagnosis of definite appendicitis was established in 54 patients (48.6%). Abdominal ultrasound examination had been performed in 80 patients (72.1%). It established a diagnosis of appendicitis in 69 patients (86.2%), while in 11 patients (13.8%) the appendix was described as normal or was not visualized. Conclusion: Our study demonstrated good agreement between peroperative diagnosis and the result of the Alvarado score applied a posteriori. Ultrasound was not always contributory to the diagnosis of acute appendicitis. It could be reserved for patients whose clinical and laboratory score indicated that appendicitis was unlikely.

关键词： Acute Appendicitis Diagnosis Ultrasound Examination Burkina Faso Alvarado Score

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