Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice
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 patien...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2012/481797 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547485646585856 |
|---|---|
| author | Malek Tabbara Nikolaos Evangelopoulos Luigi Raio Vanessa Banz Heinz Zimmermann Corinne Kim-Fuchs Aristomenis K. Exadaktylos |
| author_facet | Malek Tabbara Nikolaos Evangelopoulos Luigi Raio Vanessa Banz Heinz Zimmermann Corinne Kim-Fuchs Aristomenis K. Exadaktylos |
| author_sort | Malek Tabbara |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-17139b59a1234ecfafca36b9522f244e |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-17139b59a1234ecfafca36b9522f244e2025-02-03T06:44:37ZengWileyEmergency Medicine International2090-28402090-28592012-01-01201210.1155/2012/481797481797Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current PracticeMalek Tabbara0Nikolaos Evangelopoulos1Luigi Raio2Vanessa Banz3Heinz Zimmermann4Corinne Kim-Fuchs5Aristomenis K. Exadaktylos6Department of Emergency Medicine, Inselspital, 3010 Bern, SwitzerlandDepartment of Emergency Medicine, Inselspital, 3010 Bern, SwitzerlandDepartment of Gynaecology and Obstetrics, Inselspital, 3010 Bern, SwitzerlandDepartment of Visceral Surgery and Medicine, Inselspital, 3010 Bern, SwitzerlandDepartment of Emergency Medicine, Inselspital, 3010 Bern, SwitzerlandDepartment of Visceral Surgery and Medicine, Inselspital, 3010 Bern, SwitzerlandDepartment of Emergency Medicine, Inselspital, 3010 Bern, SwitzerlandBackground. 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.http://dx.doi.org/10.1155/2012/481797 |
| spellingShingle | Malek Tabbara Nikolaos Evangelopoulos Luigi Raio Vanessa Banz Heinz Zimmermann Corinne Kim-Fuchs Aristomenis K. Exadaktylos Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice Emergency Medicine International |
| title | Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice |
| title_full | Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice |
| title_fullStr | Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice |
| title_full_unstemmed | Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice |
| title_short | Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice |
| title_sort | transvaginal ultrasound in fertile patients with suspected appendicitis an experience report of current practice |
| url | http://dx.doi.org/10.1155/2012/481797 |
| work_keys_str_mv | AT malektabbara transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice AT nikolaosevangelopoulos transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice AT luigiraio transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice AT vanessabanz transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice AT heinzzimmermann transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice AT corinnekimfuchs transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice AT aristomeniskexadaktylos transvaginalultrasoundinfertilepatientswithsuspectedappendicitisanexperiencereportofcurrentpractice |