A Comparison of CT and USG Diagnostic Accuracy in the Diagnosis of Acute Appendicitis

CT and USG Diagnostic Accuracy in the Diagnosis of Acute Appendicitis

Abstract

Background: The most common complaint seen in any hospitals emergency department is vague abdominal pain. It may be accompanied    by nausea, vomiting, fever, or diarrhoea, but the pain is the most unpleasant symptom. Because pain thresholds differ from person to person, the severity of the condition cannot be determined solely based on this symptom. The causes of abdominal pain can range from benign to life-threatening conditions. Subjects and Methods: The study included patients between the age of 15and 60 years, who were brought to the emergency department with clinical findings and symptoms of acute appendicitis such as right iliac fossa pain, fever, and vomiting. A total of 76 people were chosen for the investigation. In the specified proforma, the clinical history was obtained addressing the current history. Results: Male patients accounted for 63.2 percent of the study sample, while females accounted for 36.8%.The highest number of cases about 44.7% noted in the age group of 20-30 years irrespective of sex. The confidence interval is about 95 % for sensitivity and specificity of surgical findings with respect to clinical acumen in diagnosing appendicitis. USG as a modality for diagnosing acute appendicitis has 95% accuracy when done for a large group in the population not considering prevalence of disease in the community. Conclusion: CT has higher sensitivity, specificity, PPV, and NPV compared to USG. As a result, the CT examination is more accurate than the USG in diagnosing appendicitis.