TY - JOUR ID - 155055 TI - Comparative Study between Modified Alvarado Score and Abdominal Ultrasound Diagnostic Value of Acute Appendicitis in Children JO - International Journal of Medical Arts JA - IJMA LA - en SN - 2636-4174 AU - Rizk, Mohamed Mahmoud AU - Elsayaad, Ibrahim Mahmoud AU - Shaqueer, Mostafa Moahmed Mostafa AU - khereba, Walied AU - Mohammed, Sami Abdullah AD - Department of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt AD - Department of Radiology, Dameitta Faculty of Medicine, Al-Azhar University, Egypt AD - Department of Vascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt AD - Department of Pathology, Damietta Faculty of Medicine, Al-Azhar University, Egypt Y1 - 2021 PY - 2021 VL - 3 IS - 2 SP - 1282 EP - 1287 KW - Appendicitis KW - Modified Alvarado KW - Ultrasound KW - Diagnosis KW - children DO - 10.21608/ijma.2021.38601.1170 N2 - Background: Diagnosis of acute appendicitis depends mainly on clinical diagnosis. However, the high negative rate remains a challenge and different aids for diagnosis had been proposed.   The aim of the work: The current work aimed to assess the sensitivity of Modified Alvarado Score [MAS] in diagnosis of acute appendicitis.Patients and Methods: One hundred children with clinical manifestations of acute appendicitis were included. Patients were categorized into two groups according to MAS: [group A] included 50 patients with [MAS] ≥ 7 regardless of sonography results. The second group [group B] included another 50 patients with MAS .Results: Tenderness in right iliac fossa was the most frequent sign in the study population [98%]. Histopathology revealed positive results among 49 patients [47 in group A and 2 in group B] with significant difference between groups A and B. The overall sensitivity and specificity of ultrasonography were 89.4% and 33.3% respectively and were 96.0% and 20.0% respectively of MAS score.Conclusion: In acute appendicitis, MAS is a good diagnostic [sensitive] tool. Sensitivity increased when combined with ultrasound, as the number of negative appendectomies was reduced. UR - https://ijma.journals.ekb.eg/article_155055.html L1 - https://ijma.journals.ekb.eg/article_155055_69421332fc001aea729d2cc91471a6b0.pdf ER -