Comparison of Diagnostic Accuracy of Ultrasonography and Sonoelastography in Detection of Acute Appendicitis in Relation with Operative Findings

Acute appendicitis is a common emergency condition requiring surgery, often diagnosed based on clinical symptoms. However, some cases present atypically, making imaging techniques crucial for accurate diagnosis. This study compared the diagnostic accuracy of ultrasound (US) and elastography (ES) in detecting acute appendicitis by correlating imaging findings with surgical outcomes. A total of 170 patients with suspected appendicitis underwent both US and ES before surgery. The results showed that ES had higher sensitivity and specificity than US alone, particularly in cases with subtle inflammation or tip appendicitis. ES effectively assessed the stiffness of the appendix, helping to distinguish between normal and inflamed tissue. The study concluded that combining ES with US improves diagnostic accuracy, reduces unnecessary surgeries, and aids in determining the severity of appendicitis, making it a valuable tool for clinical decision-making. Objective: The objective of the present study was to compare diagnostic accuracy of USG and ES in detection of acute appendicitis in correlation with operative findings. Materials and methods: A total of 170 patients who fulfilled the selection were enrolled in the study.