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Pediatric Appendicitis Or Not? A Retrospective Cohort Study From A Single Institution - Our Management And Factors Determining The Disease, Nimmita Srisan, Teerasak Phewplung, Katawaetee Decharun, Prapapan Rajatapiti, Paisarn Vejchapipat
Pediatric Appendicitis Or Not? A Retrospective Cohort Study From A Single Institution - Our Management And Factors Determining The Disease, Nimmita Srisan, Teerasak Phewplung, Katawaetee Decharun, Prapapan Rajatapiti, Paisarn Vejchapipat
Chulalongkorn Medical Journal
Purpose: The aims were to assess our treatment guidelines and to determine factors in differentiating children with acute appendicitis from other diseases.
Methods: Pediatric surgery consultations for suspected appendicitis from October 2019 to October 2021 was retrospectively studied. The treatment guidelines of children with suspected appendicitis were elucidated. Moreover, factors identifying the diagnosis of appendicitis were analyzed using multi-variate logistic regression.
Results: Ninety-one children were consulted for suspected appendicitis. Forty-one children (45.1%) were promptly successfully treated without observation or ultrasonography, except one negative appendectomy (2.4%). The other 50 children (54.9%), showed equivocal clinical symptoms and signs, requiring further management either …
Accuracy Of Ultrasonography In Diagnosis Of Acute Appendicitis At King Chulalongkorn Memorial Hospital, Thitinan Chulroek
Accuracy Of Ultrasonography In Diagnosis Of Acute Appendicitis At King Chulalongkorn Memorial Hospital, Thitinan Chulroek
Chulalongkorn Medical Journal
Background: Acute appendicitis is one of the most common emergency abdominal surgical condition with a yearly incidence rate of approximately 140 per 100,000 persons in Thailand between 2014 to 2017. The diagnosis of appendicitis is mainly relied on clinical manifestations, but these diagnostic approaches are not always accurate. Imaging tests such as graded compression ultrasonography (US) and computed tomography (CT) have become more commonly used to improve the diagnostic performance.
Objective: To evaluate the sensitivity, specificity and predictive values of US in the diagnosis of acute appendicitis at King Chulalongkorn Memorial Hospital (KCMH).
Methods: We retrospectively gathered data from the …