The contribution of transvaginal ultrasound in the diagnosis of acute appendicitis: an observational study

Objective To assess the contribution of transvaginal and transabdominal sonography in the diagnosis of acute appendicitis. Methods The study group included female patients in whom acute appendicitis was diagnosed preoperatively by ultrasound and confirmed by histology. Each patient was examined by t...

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Bibliographic Details
Published in:Ultrasound in obstetrics & gynecology 2003-03, Vol.21 (3), p.273-276
Main Authors: Caspi, B., Zbar, A. P., Mavor, E., Hagay, Z., Appelman, Z.
Format: Article
Language:English
Subjects:
acute appendicitis
Acute Disease
Adolescent
Adult
Appendicitis - diagnostic imaging
Appendicitis - surgery
Biological and medical sciences
Digestive system. Abdomen
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Middle Aged
Other diseases. Semiology
Sensitivity and Specificity
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
TAS
transabdominal
transvaginal
TVS
Ultrasonic investigative techniques
Ultrasonography - methods
ultrasound
Vagina
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Summary:Objective To assess the contribution of transvaginal and transabdominal sonography in the diagnosis of acute appendicitis. Methods The study group included female patients in whom acute appendicitis was diagnosed preoperatively by ultrasound and confirmed by histology. Each patient was examined by transabdominal (TAS) and transvaginal (TVS) sonography. The contribution of both approaches to the diagnosis of acute appendicitis was assessed. Results Acute appendicitis was diagnosed sonographically in 38 women. In all of them the diagnosis was confirmed histologically. All patients had both TAS and TVS. In 16 (42%) patients the inflamed appendix was detected by both approaches, in 13 (34%) only by the transabdominal route and in nine (24%) only transvaginally. Thus, TAS detected only 76% of the cases and TVS added 24%. Conclusion The use of TVS in conjunction with TAS seems to improve the detection rate of acute appendicitis. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.
ISSN:0960-7692
1469-0705
DOI:10.1002/uog.72