Acute Appendicitis: A Narrative Review Article
Author(s): Amit Kumar Gupta and Pankaj K Gharde*
Abstract
With the life-time incidence of 7% and male to female ratio of 3:2, acute appendicitis presents as commonest abdominal emergencies in hospital which require immediate intervention until 4th decade of life. The reported percentage of missed diagnosis of appendicitis is about 50% in some part and range between 20-40% in some, which leads to severe complications like formation of abscess, perforation, bacterial infection and intra-abdominal adhesion. It is very important to diagnose it timely and accurately to prevent such complications. Despite common presentation, it is still a challenging task as 50% to 60% patient’s shows negative clinical signs and blood results. The motive of this review paper is to summarize the various evidence regarding various available approaches for the diagnosis of appendicitis. For that we added discussions of clinical scoring i.e., ALVARADO SCORE, lab testing finding, novel biomarkers along with radiological imaging.
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