A Study to Evaluate the Significance of Sherren’s Triangle Hyperaesthesia in a Treatment of Acute Appendicitis

Sherren’s Triangle Hyperaesthesia in a Treatment of Acute Appendicitis

  • Amarnath Gupta Senior Resident, Department of General Surgery, Government Medical College, Bettiah, India
  • A P Singh Professor & HOD, Department of General Surgery, Government Medical College, Bettiah, India
Keywords: Appendicitis, Hyperaesthesia, Peritonitis

Abstract

Background: Acute appendicitis is the most common surgical emergency. In spite of sophisticated new investigations mainstay of diagnosis depends on clinical sign and symptoms, Sherren`s triangle hyperaesthesia is very important sign with controversial efficacy about it in available literature. Aim: The aim of this study was to explore the significance of hyperaesthesia in Sherren’s triangle in a treatment of acute appendicitis.Subjects and Methods:This study was conducted in 418 patients with 186 females and 251 males. Patients were of acute appendicitis operated for appendicectomy included in the study.Results:Sensitivity and specificity of hyperaesthesia in Sherren’s triangle were 47.7% and 42.9% respectively with positive and negative predictive values were 92.1% and 5.56%.Conclusion:Hence it indicates that hyperaesthesia in Sherren’s triangle is important sign to suspect to support diagnosis of acute appendicitis. It has minimal significance to rule out it. This sign plays very important role in a diagnosis of complicated appendicitis like obstructive appendicitis.

Published
2020-05-26