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

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. 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.

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References

Al-Hashemy AM, Seleem MI. Appraisal of the modified Alvarado Score for acute appendicits in adults. Saudi Med J. 2004;25(9):1229–1260.

Ibrahim M, Sak M, Kreshnan TR, Sharma R, Abdel-Shaheed AA, Habib MA. Ultrasonography in the diagnosis of clinically equivocal acute appendicitis: a prospective study. Kuwait Med J. 2003;35(3):271–275.

Hussain A, Mahmood H, Singhal T, Balakrishnan S, El- Hasani S. What is positive appendicitis? A new answer to an old question. Clinical, macroscopical and microscopical findings in 200 consecutive appendectomies. Singapore Med J. 2009;50(12):1145–1145.

Moore AM, Moore MA. James Sherren—surgeon and sailor. Br J Surg. 1973;60(11):841–846. Available from: https://dx.doi.org/10.1002/bjs.1800601102.

Lamture YR, Ramteke H, Shinde RK, Shahapurkar VV, Gajbhiye VP. Clinico sonological and laboratory co-relation with histopathology of acute appendicitis to develop new diagnostic scoring system (Yash scoring system). Int Surg J. 2017;4(8):2556–2556. Available from: https://dx.doi.org/10.18203/2349-2902.isj20173211.

Lone NA, Shah M, Wani KA, Peer GQ. Modified Alvarado Score in Diagnosis of Acute Appendicitis. Indian J Practi Doc. 2006;3(2).

Salminen P, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, et al. Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis. JAMA. 2015;313(23):2340–2340. Available from: https://dx.doi.org/10.1001/jama.2015.6154.

A M, N B. Acute appendicitis dilemma of diagnosis and management. Internet J Surg. 2010;23(1):18–22.

Khairy G. Acute appendicitis: Is removal of a normal appendix still existing and can we reduce its rate? Saudi J Gastroenterol. 2009;15(3):167–167. Available from: https://dx.doi.org/10.4103/1319-3767.51367.

Varadhan KK, Neal KR, Lobo DN. Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomised controlled trials. Br Med J. 2012;344:e2156–e2156. Available from: https://dx.doi.org/10.1136/bmj.e2156.

Published
2020-05-26