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The specificity and sensitivity of ultrasonography in the diagnosis of acute right lower quadrant pain in women of child bearing age.
Author(s):
1. Shumaila Arooj: Department of Radiology, Aga Khan University Hospital, Karachi, Pakistan
2. Arfanul Haq: Department of Radiology, PNS Shifa, Karachi, Pakistan
3. Zafar Amin: Department of Radiology, PNS Shifa, Karachi, Pakistan
Abstract:
Objective: To assess the sensitivity and specificity of ultrasonography in differentiating causes of acute right lower quadrant pain in women of child-bearing age by taking surgical outcome as the gold standard. Methods: The descriptive analytical study was conducted at PNS Shifa Hospital, Karachi, from July to December 2008, and comprised female patients of child-bearing age who presented with acute right lower quadrant pain and underwent surgery after ultrasonography. SPSS 10 was used for statistical analysis. Results: Of the 75 patients, 54(72%) patients were symptomatically and sonographically positive to have either acutely inflamed non-compressible appendix or focal fluid collection in right lower quadrant with normal pelvic viscera. Sensitivity of 94% and specificity of 84% were calculated. Conclusion: Ultrasound had a sensitivity and specificity justifying its usage as a good diagnostic tool in emergency situations to avoid undue surgical interventions.
Page(s): 933-936
DOI: DOI not available
Published: Journal: Journal of Pakistan Medical Association, Volume: 65, Issue: 9, Year: 2015
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