Abstract

Objective: The objective of our study is to study the impact of combined use of Alvarado score and CT scan on Negative Appendectomy Rate. Materials and methods: This prospective observational study comprising of patients presenting with clinical features of appendicitis admitted to department of general surgery, VIMSAR, Burla from November 2021 to October 2022, where Alvarado score and USG findings are mismatching each other. Alvarado scores calculated and categorized in 2 groups as negative (score <4) and positive (score ≥4). These patients were also subjected to USG and categorized as negative (USG –ve) and positive (USG +ve). Those patients having discrepancy in both the findings were subjected to CT scan. On histopathological examination, inflamed appendix in 63(97%) patients and non-inflammed in 2 (3%) Rest patients were either discharged (both –ve) or operated (both +ve).

Description

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