Home > Journals > New Indian Journal of Surgery

New Indian Journal of Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Comparison of Modified Alvarado Score with Ultrasonogram in the Diagnosis of Acute Appendicitis at a Tertiary Care Center of Dakshina Kannada

Shafeek Ashraf, Post Graduate, Department of General Surgery, Yenapoya Medical College, University Road, Deralakatte, Mangalore, Karnataka 575018, India. , Kiran T.1 , Shafeek Ashraf2

Author Information

Licence:



New Indian Journal of Surgery 9(4):p 433-435, July - August 2018. | DOI: DOI:https://dx.doi.org/10.21088/nijs.0976.4747.9418.6

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: Acute appendicitis is one of the commonest emergency presenting at general surgery department calling for an emergency appendectomy either by open laparotomy or laparoscopic technique is performed. Thus a rapid yet accurate diagnosis becomes important to prevent wrong procedure.

Objectives: We intend to compare the diagnostic accuracy of Modified Alvarado Score System (MASS) and ultrasound in the diagnosis of acute appendicitis at our institution in Dakshina kannada.

Materials and methods: A prospective study was conducted between October 2015 to October 2017 at our institution. 100 patients were included in the study after obtaining an informed consent. A detailed clinical examination was performed following which the clinical finding and laboratory findings including total leucocyte count and differential count were in noted in the patient’s study proforma. Patients were then subjected to ultrasound examination for appendicitis. The radiological findings were also then tabulated. Appendectomy was then performed followed by histopathological examination of the specimen for  confirmation of the diagnosis. The histopathological diagnosis of acute appendicitis was considered as positive report and using SPSS software and MEDCALC Software descriptive statistics were calculated for MASS and ultrasound.

Results: Out of 100 patients 52 were males and 48 were females. MASS and ultrasound showed sensitivity, specificity, positive predictive value and negative predictive value of 60%, 90%, 98.18%, 20%, 93.3%, 20%, 91.3%, and 25% respectively. Application of Chi­square test showed that MASS had better correlation histopathological finding with a statistically significant p value of 0.000 (< 0.005).

Conclusion: Both MASS and Ultrasound examination  have a distinct advantage and limitation when used independently. But utilisation of both modalities complementarily serves as a better management strategy in acute appendicitis.

Keywords: MASS; Ultrasound; Sensitivity; Specificity; p value; Complementary Value.

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: DOI:https://dx.doi.org/10.21088/nijs.0976.4747.9418.6

Keywords


Article Level Metrics

Last Updated

Saturday 28 February 2026, 12:50:40 (IST)

507

Accesses

1
158
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share