Am Fam Physician. 1991 Aug;44(2):465-8.

Sonography in the diagnosis of acute appendicitis.

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Immanuel Medical Center, Omaha, Nebraska.

Abstract

Acute appendicitis can be a diagnostic dilemma. The classic triad of leukocytosis, pain at McBurney's point and a history compatible with appendicitis has a diagnostic accuracy rate of only 80 percent. Ultrasonography, combined with this triad, can improve the diagnostic accuracy, decreasing the negative laparotomy rate from 20 percent to less than 10 percent.

Comment in

Am Fam Physician. 1992 Jun;45(6):2482, 2485.

PMID:: 1858603; [PubMed - indexed for MEDLINE]

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Ultrasonography as an adjunct in the diagnosis of acute appendicitis: a 4-year experience. [J Pediatr Surg. 1996]
Ultrasonography as an adjunct in the diagnosis of acute appendicitis: a 4-year experience.
Ramachandran P, Sivit CJ, Newman KD, Schwartz MZ. J Pediatr Surg. 1996 Jan; 31(1):164-7; discussion 167-9.
[Diagnostic significance of clinical symptoms versus ultrasonography in appendicitis. A prospective study]. [Schweiz Rundsch Med Prax. 1991]
[Diagnostic significance of clinical symptoms versus ultrasonography in appendicitis. A prospective study].
John H, Neff U, Kelemen M. Schweiz Rundsch Med Prax. 1991 Oct 22; 80(43):1173-8.
Review [Diagnosis of appendicular syndromes: for a rational approach]. [J Chir (Paris). 2001]
Review [Diagnosis of appendicular syndromes: for a rational approach].
Vons C. J Chir (Paris). 2001 Jun; 138(3):143-5.
Tc-99 hexamethylpropyleneamineoxide scanning for the detection of acute appendicitis. [J Am Coll Surg. 1994]
Tc-99 hexamethylpropyleneamineoxide scanning for the detection of acute appendicitis.
Evetts BK, Foley CR, Latimer RG, Rimkus DS. J Am Coll Surg. 1994 Aug; 179(2):197-201.
Review [Value of ultrasound in diagnosis of acute appendicitis]. [Bildgebung. 1996]
Review [Value of ultrasound in diagnosis of acute appendicitis].
Zoller WG, Kellner H, Schwerk WB. Bildgebung. 1996 Jun; 63(2):78-82.

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Cited by 1 PubMed Central article

The value of preoperative diagnostic tests in acute appendicitis, retrospective analysis of 196 patients. [World J Emerg Surg. 2010]
The value of preoperative diagnostic tests in acute appendicitis, retrospective analysis of 196 patients.
Memisoglu K, Karip B, Mestan M, Onur E. World J Emerg Surg. 2010 Feb 11; 5:5. Epub 2010 Feb 11.

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