Computed Tomography Trend in Acute Appendicitis: Retrospective Cross-Sectional Analysis Akut Apandisitte Bilgisayarlı Tomografi Eğilimi: Retrospektif Kesitsel Analiz
Turkiye Klinikleri Journal of Medical Sciences, cilt.42, sa.2, ss.111-118, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 42 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.5336/medsci.2021-85007
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.111-118
- Anahtar Kelimeler: Appendicitis, tomography, ultrasonography
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Acute appendicitis (AA) is one of the abdominal pain pathologies that often requires emergency surgery. It was aimed to reveal the flaws in our radiological examination request algorithm by looking at the diagnostic activities of abdominal ultrasonog-raphy (USG) and computed tomography (CT). Material and Methods: Hospital records of 299 patients who were operated between January and July 2019 in Ankara Training and Research Hospital, General Surgery Clinic were retrospectively reviewed. Patients' age, gender, co-morbid disease, body mass index, preoperative white blood leukocyte levels, length of hospital stay and CT and USG requests were recorded. Findings were correlated with postoperative pathology results and the efficacy of radiological examinations in diagnosis were evaluated. Re-sults: The patients were classified as those who underwent USG only (85), CT only (43), CT after USG (162) and those who did not undergo imaging (9). Pathology results were reported as apendicitis in 257 patients (86%) and normal in 42 (%14). When radiological imaging examinations and pathology results were compared, positive predictive values/occuracy rates for USG alone, only CT and CT after USG were 89.02%/89.41%, 94.12%/76.74% and 87.97%/78.40% respectively. Al-though the positive predictive value of CT was higher than USG, the oc-curacy rate was lower. No statistically significant difference was found between the groups in terms of pathological correlation. Conclusion: In patients with AA, it is appropriate to make CT requests with the rec-ommendation of a radiologist and surgeon after the first examination and sonographic examination. Thus, we believe that CT will be used effectively and there will be no unnecessary X-ray burden for patients.