Diagnostic Challenge of Acute Appendicitis: Appraisal Through Alvarado Score

Ashfaq Chandio, Ali Javaid, Ayub Ali, Syed Mustafa, Shariq Sabri, Fuad Aftab, Muhammad Ibrahim, Syed Naqvi


Background: Acute appendicitis is a common surgical emergency which, even with modern diagnostic facilities, remains a challenging task for the surgeon. The variations in presentation pertaining to time, signs and symptoms can baffle even the very experienced surgeons. The aim of the study was to find out the predictive value of the Alvarado scoring system in diagnosis of acute appendicitis and its clinical applicability.

Methods: A total of 113 patients admitted through casualty in Mid-Western General Hospital, Ennis between January and November 2006 with right lower quadrant pain were analyzed prospectively for possible diagnosis of acute appendicitis in the light of Alvarado scoring system, which comprises of signs, symptoms and laboratory findings which are graded individually and divided into four broad groups, namely unlikely (1 - 4), possible (5 - 6), probable (7 - 8), and very probable (9 - 10). Chi-square test was done to establish the relationship of histological diagnosis with scoring system.

Results: Out of 113 patients, there were 67 males and 46 females with a mean age of 25.04 years 14.21 SD (7 - 81). The Alvarado scoring was found to be 85% accurate for unlikely group, 60% for possible group, 83% for probable group and 100% for very probable group (P = 0.0001).

Conclusion: Alvarado scoring system is simple, fast, reliable and easy to use and may increase diagnostic certainty of clinical examination in diagnosis of acute appendicitis.

J Curr Surg. 2014;4(4):107-109
doi: http://dx.doi.org/10.14740/jcs244e


Appendix Alvarado score; Diagnosis; Appendicitis; Appraisal

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics






Journal of Current Surgery, quarterly, ISSN 1927-1298 (print), 1927-1301 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.currentsurgery.org   editorial contact: editor@currentsurgery.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.