Jentashapir Journal of Health Research

Published by: Kowsar

Diagnostic Accuracy of Acute Appendicitis by Ultrasound in Hospital Emergency

Mohamad Ghasem Hanafi 1 , * and Afshin Shiri 1
Authors Information
1 Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Article information
  • Jentashapir Journal of Health Research: August 2018, 9 (4); e82639
  • Published Online: September 3, 2018
  • Article Type: Research Article
  • Received: July 27, 2018
  • Accepted: August 12, 2018
  • DOI: 10.5812/jjhr.82639

To Cite: Hanafi M G, Shiri A. Diagnostic Accuracy of Acute Appendicitis by Ultrasound in Hospital Emergency, Jentashapir J Health Res. 2018 ; 9(4):e82639. doi: 10.5812/jjhr.82639.

Copyright © 2018, Jentashapir Journal of Health Research. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Rothrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med. 2000;36(1):39-51. doi: 10.1067/mem.2000.105658. [PubMed: 10874234].
  • 2. Doria AS, Moineddin R, Kellenberger CJ, Epelman M, Beyene J, Schuh S, et al. US or CT for diagnosis of appendicitis in children and adults? A meta-analysis. Radiology. 2006;241(1):83-94. doi: 10.1148/radiol.2411050913. [PubMed: 16928974].
  • 3. Grover CA, Sternbach G. Charles McBurney: McBurney's point. J Emerg Med. 2012;42(5):578-81. doi: 10.1016/j.jemermed.2011.06.039. [PubMed: 21982626].
  • 4. Kwan KY, Nager AL. Diagnosing pediatric appendicitis: usefulness of laboratory markers. Am J Emerg Med. 2010;28(9):1009-15. doi: 10.1016/j.ajem.2009.06.004. [PubMed: 20825931].
  • 5. Birnbaum BA, Wilson SR. Appendicitis at the millennium. Radiology. 2000;215(2):337-48. doi: 10.1148/radiology.215.2.r00ma24337. [PubMed: 10796905].
  • 6. Jones PF. Suspected acute appendicitis: trends in management over 30 years. Br J Surg. 2001;88(12):1570-7. doi: 10.1046/j.0007-1323.2001.01910.x. [PubMed: 11736966].
  • 7. Chan I, Bicknell SG, Graham M. Utility and diagnostic accuracy of sonography in detecting appendicitis in a community hospital. AJR Am J Roentgenol. 2005;184(6):1809-12. doi: 10.2214/ajr.184.6.01841809. [PubMed: 15908535].
  • 8. Sutton D. A textbook of radiology and imaging. Churchill Livingstone; 1987.
  • 9. Mock K, Lu Y, Friedlander S, Kim DY, Lee SL. Misdiagnosing adult appendicitis: clinical, cost, and socioeconomic implications of negative appendectomy. Am J Surg. 2016;212(6):1076-82. doi: 10.1016/j.amjsurg.2016.09.005. [PubMed: 27836098].
  • 10. Ahmed ST, Ranjan R, Saha SB, Singh B. Traumatic appendicitis misdiagnosed as a case of haemoperitoneum. BMJ Case Rep. 2014;2014. doi: 10.1136/bcr-2013-202082. [PubMed: 24759158]. [PubMed Central: PMC4009847].
  • 11. Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Matthews J, et al. Schwartz's principles of surgery. 10th ed. McGraw-Hill; 2014.
  • 12. Yacoe ME, Jeffrey RB Jr. Sonography of appendicitis and diverticulitis. Radiol Clin North Am. 1994;32(5):899-912. [PubMed: 8085003].
  • 13. Fujii Y, Hata J, Futagami K, Hamada T, Mitsuoka H, Teramen K, et al. Ultrasonography improves diagnostic accuracy of acute appendicitis and provides cost savings to hospitals in Japan. J Ultrasound Med. 2000;19(6):409-14. [PubMed: 10841063].
  • 14. Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston textbook of surgery E-book. Elsevier Health Sciences; 2016.
  • 15. Pastore V, Cocomazzi R, Basile A, Pastore M, Bartoli F. Limits and advantages of abdominal ultrasonography in children with acute appendicitis syndrome. Afr J Paediatr Surg. 2014;11(4):293-6. doi: 10.4103/0189-6725.143130. [PubMed: 25323176].
  • 16. Saucier A, Huang EY, Emeremni CA, Pershad J. Prospective evaluation of a clinical pathway for suspected appendicitis. Pediatrics. 2014;133(1):e88-95. doi: 10.1542/peds.2013-2208. [PubMed: 24379237].
  • 17. Hussain S, Rahman A, Abbasi T, Aziz T. Diagnostic accuracy of ultrasonography in acute appendicitis. J Ayub Med Coll Abbottabad. 2014;26(1):12-7. [PubMed: 25358207].
  • 18. D'Souza N, D'Souza C, Grant D, Royston E, Farouk M. The value of ultrasonography in the diagnosis of appendicitis. Int J Surg. 2015;13:165-9. doi: 10.1016/j.ijsu.2014.11.039. [PubMed: 25499245].
  • 19. Scrimgeour DS, Driver CP, Stoner RS, King SK, Beasley SW. When does ultrasonography influence management in suspected appendicitis? ANZ J Surg. 2014;84(5):331-4. doi: 10.1111/ans.12415. [PubMed: 24405944].
  • 20. Park JS, Jeong JH, Lee JI, Lee JH, Park JK, Moon HJ. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-6. [PubMed: 23317620].
  • 21. Sezer TO, Gulece B, Zalluhoglu N, Gorgun M, Dogan S. Diagnostic value of ultrasonography in appendicitis. Adv Clin Exp Med. 2012;21(5):633-6. [PubMed: 23356200].
  • 22. Drake FT, Kotagal M, Simmons LE, Parr Z, Dighe MK, Flum DR. Single institution and statewide performance of ultrasound in diagnosing appendicitis in pregnancy. J Matern Fetal Neonatal Med. 2015;28(6):727-33. doi: 10.3109/14767058.2014.932344. [PubMed: 24913357]. [PubMed Central: PMC4282618].
  • 23. Kotagal M, Richards MK, Chapman T, Finch L, McCann B, Ormazabal A, et al. Improving ultrasound quality to reduce computed tomography use in pediatric appendicitis: the Safe and Sound campaign. Am J Surg. 2015;209(5):896-900. discussion 900. doi: 10.1016/j.amjsurg.2014.12.029. [PubMed: 25771132]. [PubMed Central: PMC4426027].
  • 24. Lofvenberg F, Salo M. Ultrasound for appendicitis: Performance and integration with clinical parameters. Biomed Res Int. 2016;2016:5697692. doi: 10.1155/2016/5697692. [PubMed: 28044133]. [PubMed Central: PMC5156797].
  • 25. Aspelund G, Fingeret A, Gross E, Kessler D, Keung C, Thirumoorthi A, et al. Ultrasonography/MRI versus CT for diagnosing appendicitis. Pediatrics. 2014;133(4):586-93. doi: 10.1542/peds.2013-2128. [PubMed: 24590746].
  • 26. Bachur RG, Dayan PS, Bajaj L, Macias CG, Mittal MK, Stevenson MD, et al. The effect of abdominal pain duration on the accuracy of diagnostic imaging for pediatric appendicitis. Ann Emerg Med. 2012;60(5):582-590 e3. doi: 10.1016/j.annemergmed.2012.05.034. [PubMed: 22841176].
  • 27. Leeuwenburgh MM, Wiezer MJ, Wiarda BM, Bouma WH, Phoa SS, Stockmann HB, et al. Accuracy of MRI compared with ultrasound imaging and selective use of CT to discriminate simple from perforated appendicitis. Br J Surg. 2014;101(1):e147-55. doi: 10.1002/bjs.9350. [PubMed: 24272981].
  • 28. Alter SM, Walsh B, Lenehan PJ, Shih RD. Ultrasound for diagnosis of appendicitis in a community hospital emergency department has a high rate of nondiagnostic studies. J Emerg Med. 2017;52(6):833-8. doi: 10.1016/j.jemermed.2017.01.003. [PubMed: 28258881].
  • 29. Gungor F, Kilic T, Akyol KC, Ayaz G, Cakir UC, Akcimen M, et al. Diagnostic value and effect of bedside ultrasound in acute appendicitis in the emergency department. Acad Emerg Med. 2017;24(5):578-86. doi: 10.1111/acem.13169. [PubMed: 28171688].
  • 30. Hwang ME. Sonography and computed tomography in diagnosing acute appendicitis. Radiol Technol. 2018;89(3):224-37. [PubMed: 29298941].
  • 31. Giljaca V, Nadarevic T, Poropat G, Nadarevic VS, Stimac D. Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis: Systematic review and meta-analysis. World J Surg. 2017;41(3):693-700. doi: 10.1007/s00268-016-3792-7. [PubMed: 27864617].
  • 32. Zhang H, Liao M, Chen J, Zhu D, Byanju S. Ultrasound, computed tomography or magnetic resonance imaging - which is preferred for acute appendicitis in children? A Meta-analysis. Pediatr Radiol. 2017;47(2):186-96. doi: 10.1007/s00247-016-3727-3. [PubMed: 27815615].
  • 33. Ferrarese A, Falcone A, Solej M, Bono D, Moretto P, Dervishi N, et al. Surgeon's clinical valuation and accuracy of ultrasound in the diagnosis of acute appendicitis: A comparison with intraoperative evaluation. Five years experience. Int J Surg. 2016;33 Suppl 1:S45-50. doi: 10.1016/j.ijsu.2016.05.052. [PubMed: 27255128].
  • 34. Koo HS, Kim HC, Yang DM, Kim SW, Park SJ, Ryu JK. Does computed tomography have any additional value after sonography in patients with suspected acute appendicitis? J Ultrasound Med. 2013;32(8):1397-403. doi: 10.7863/ultra.32.8.1397. [PubMed: 23887949].
  • 35. Shirazi AS, Sametzadeh M, Kamankesh R, Rahim F. Accuracy of sonography in diagnosis of acute appendicitis running. Pak J Biol Sci. 2010;13(4):190-3. [PubMed: 20437687].
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