急性阑尾炎的发病率、诊断标志物及后遗症；沙特阿拉伯利雅得基于达拉医院的研究

Acute Appendicitis Incidence, Diagnostic Markers, and Sequelae; Dallah Hospital-Based Study in Riyadh, Saudi Arabia.

作者信息

Suliman Marwa M, Raslan Amira E, Salih Saeda A, Soliman Salah M, Abdullah Salwa S, Elnoor Entesar H, Ibrahim Mohamed B, Elnaggar Ahmed M, Badawi Marwan M

机构信息

Radiology Department, Dallah Hospitals, Riyadh, Saudi Arabia.

Radiology Department, Obaid Specialized Hospital, Riyadh, Saudi Arabia.

出版信息

Niger Med J. 2024 Apr 21;65(1):67-74. doi: 10.60787/nmj-v65i1-452. eCollection 2024 Jan-Feb.

DOI:10.60787/nmj-v65i1-452

PMID:39006175

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11238160/

Abstract

BACKGROUND

Acute appendicitis is currently considered one of the most common acute surgical diseases of the abdomen and requires emergency surgery. It is also one of the most common abdominal emergencies in both developed and developing countries. The current study is aimed at assessing the specificity and sensitivity of Ultrasound and Computed Tomography in the diagnosis of appendicitis as well as the prevalence of its complications. The association of appendicitis with several laboratory findings will also be evaluated.

METHODOLOGY

A retrospective study was conducted at Dallah-Namar Hospital, Riyadh City, Saudi Arabia.

RESULTS

720 patients were differentially diagnosed with appendicitis in the study area. Of these, 618 patients had US abdomen/pelvis, with 15 (2.4%) showing positive findings. Amongst the 203 patients noted to have undergone abdominal CT,8 (4.0%) was found to have positive findings.

CONCLUSION

The sensitivity of the US was determined to be relatively low. Also, serum creatinine was found to be elevated among all patients diagnosed with appendicitis. Further research with a larger sample size is needed to be conducted to further support the current findings.

摘要