Transvaginal ultrasound in fertile patients with suspected appendicitis: an experience report of current practice

Tabbara, Malek; Evangelopoulos, Nikolaos; Raio, Luigi; Banz, Vanessa; Zimmermann, Heinz; Kim-Fuchs, Corinne; Exadaktylos, Aristomenis K (2012). Transvaginal ultrasound in fertile patients with suspected appendicitis: an experience report of current practice. Emergency medicine international, 2012, p. 481797. Cairo (Egypt): Hindawi Publishing Corporation 10.1155/2012/481797

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Background. Transvaginal ultrasound (TVU) in female patients with acute right lower quadrant (RLQ) abdominal pain is time and infrastructure intensive and not always available. This study aims to evaluate the role of TVU in these patients. Methods. Retrospective analysis identified 224 female patients with RLQ pain and TVU. Results. TVU revealed an underlying pathology in 34 (15%) patients, necessitating a diagnostic laparoscopy in 12 patients. Six patients (2%) had a true gynaecological emergency. The remaining 23 patients did not require surgery. The other 190 patients with RLQ pain had a bland TVU; 127 (67%) were discharged, while 63 patients (33%) received a diagnostic laparoscopy. Conclusion. The incidence of true gynaecological emergencies requiring urgent surgical intervention is very low in our patient cohort. TVU is a helpful tool if performed by a physician who is well trained in TVU.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Raio, Luigi; Banz, Vanessa Martine; Zimmermann, Heinz; Kim-Fuchs, Corina and Exadaktylos, Aristomenis Konstantinos

ISSN:

2090-2840

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:34

Last Modified:

11 Dec 2014 19:01

Publisher DOI:

10.1155/2012/481797

PubMed ID:

22496979

BORIS DOI:

10.7892/boris.13527

URI:

https://boris.unibe.ch/id/eprint/13527 (FactScience: 220079)

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