Abstract
Objective: Correlation of Ultrasound and RIPASA scoring system in the diagnosis of acute appendicitis. Study Design: 50 patients presenting to emergency underwent ultrasound and evaluation as per RIPASA scoring system followed by emergency appendicectomy. The sensitivity, specificity, positive and negative predictive value calculated for each goups. Results: The sensitivity, specificity, Positive Predictive Value and Negative Predictive Value for ultrasound were 75.51%, 100%, 100% and 7.69% respectively and that for RIPASA scoring system were 93.9%, 100% 100% and 25% respectively. The negative appendicectomy rate was 2%. Conclusion: RIPASA scoring system may be used for correctly diagnosing acute appendicitis but low sensitivity of ultrasound precludes its routine use and may be used as a complementary tool in diagnosing acute appendicitis. Keywards: Acute Appendictis, RIPASA, Ultrasound.
Highlights
Acute appendicitis is defined as inflammation of vermiform appendix and is one of the commonest cause of abdominal pain seen in emergencies worldwide
A total score as per RIPASA scoring system of less than 7.5 indicated that the chances of inflamed appendix are highly unlikely while a score of more than 7.5 indicated that the chances of inflamed appendix are more likely
Still many radiological investigations have been used for the diagnosis of acute appendicitis like ultrasonography, computed tomography (CT), MRI
Summary
Acute appendicitis is defined as inflammation of vermiform appendix and is one of the commonest cause of abdominal pain seen in emergencies worldwide. Acute appendicitis has typical clinical presentation in 70% of the cases, about 30% of the patients have an uncertain pre-operative diagnosis due to which there is negative laparotomy in as high as 20-25% cases. The rate of such unnecessary surgeries is even higher (3545%) in women of childbearing age, because of the female pelvic organs and complications of pregnancy in this group [2]. Various diagnostic modalities are different scoring systems, ultrasonography, GIT Contrast studies, computer aided scores, computed tomography and MRI Among these modalities ultrasonography is simple, available, non-invasive, convenient and cost effective.USG in the diagnosis of acute appendicitis was first popularized by Puylaert in 1986, one hundred years after the publication of first paper by Fitz. It is reiterated that reduction of negative appendicectomy is of utmost importance in modern day surgical practice keeping in mind that
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
