Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
AbstractIntroduction: Acute appendicitis is one of the most common acute surgical abdominalconditions requiring surgery. Ever since the inflamed appendix was demonstrated in the 1980’sby Ultrasonography, it has been used as an aid to clinically diagnose acute appendicitis. Tzanakisscoring system is a combination of clinical examination, Ultrasonography and inflammatory markers.Methods: A retrospective non-randomized observational study was conducted from April 2014 toMarch 2015 on all cases of acute appendicitis, which underwent preoperative ultrasound beforeappendectomy (open/laparoscopic) at the Department of surgery, Nepal Medical College TeachingHospital. Ultrasound findings and Tzanaki score were compared in the cases. No studies could befound in literature comparing ultrasound diagnosis with Tzanaki score in appendicitis.Results: The sensitivity, specificity, positive predictive value and negative predictive value ofultrasound were 73%, 50%, 95% and 12% respectively. The sensitivity, specificity, positive predictivevalue and negative predictive value of Tzanaki were 87%, 50%, 96% and 23% respectively. Tzanakiscore is better than ultrasound alone as a diagnostic test for acute appendicitis.Conclusion: Tzanaki score is better than ultrasound in diagnosis of acute appendicitis.Key Words: Appendicitis; Tzanakis score; ultrasonography.
Copyright and Open Access Policy
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
JSSN applies the Creative Commons Attribution (CC BY) license to all works we publish. Under the CC BY license, authors retain ownership of the copyright for their article, but authors allow anyone to download, reuse, reprint, distribute, and/or copy articles in JSSN, so long as the original authors and source are cited. No permission is required from the authors or the publishers.
Article by JSSN is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at http://www.jssn.org.np/index.php?journal=jssn.