Correlation between clinical presentation, peroperative finding and histopathological report in acute appendicitis.

Khan, SA, Gafur, MA, Islam, Ariful and Rahman, MS 2011, Correlation between clinical presentation, peroperative finding and histopathological report in acute appendicitis., Mymensingh medical journal : MMJ, vol. 20, no. 4, pp. 570-577.


Title Correlation between clinical presentation, peroperative finding and histopathological report in acute appendicitis.
Author(s) Khan, SA
Gafur, MA
Islam, ArifulORCID iD for Islam, Ariful orcid.org/0000-0002-9210-3351
Rahman, MS
Journal name Mymensingh medical journal : MMJ
Volume number 20
Issue number 4
Start page 570
End page 577
Total pages 8
Publisher Mymensingh Medical College, Mymensingh
Publication date 2011-01-01
ISSN 1022-4742
Summary Acute appendicitis is usually encountered clinically as acute abdomen. Typical cases are easy to diagnose, but sometimes it is very difficult to make a diagnosis in atypical cases. The objective of the study was to determine the diagnostic accuracy in patient of clinically diagnosed acute appendicitis. This prospective study conducted in Mymensingh medical college hospital on 1136 patients presented with acute abdomen and clinically diagnosed as acute appendicitis from July 2004 to June 2010. Emergency appendicectomy was done in all consecutive patients after relevant investigation. Intraoperative findings along with histopathological reports were compared with clinical diagnosis. On the basis of histopathological report, 85.65% were found to have acute appendicitis with misdiagnosis in rest of the subjects requiring unnecessary explorations. Negative exploration was more in emergency than office hour. This may be due to diagnostic inaccuracy and decision-making in the management of the acute appendicitis. Management errors can be significantly reduced by accurate preoperative diagnosis of acute appendicitis by improving clinical skill and appropriate investigations.
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HERDC Research category CN.1 Other journal article
Persistent URL http://hdl.handle.net/10536/DRO/DU:30142630

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