Capabilities of ultrasound in detection of diverticulitis in conditions of emergency department
https://doi.org/10.24835/1607-0763-2019-1-43-50
Abstract
The aim of this prospective study was to evaluate ultrasound capabilities in differential diagnosis of intestinal diverticular disease, diverticulitis and other acute abdomen pathology.
Material and methods. The study included 29 patients at the age of 48-95 years, which were admitted to emergency department with clinical symptoms of acute abdomen pain. All patients underwent complex clinical examination, comprising laboratory and instrumental diagnostic methods. Ultrasound of intestines was performed according to a specially developed step-by-step algorithm.
Results. Sensitivity of the method was 68%, specificity 80%, accuracy 72.0%, PPT 86.0%, NPT 57.0%.
Conclusion. Rather high diagnostic informative value and non-invasiveness of intestine's ultrasound allow to reconsider the sequence of instrumental methods of diagnosis for patients with suspicion on acute diverticulitis, and to consider ultrasound as a first line method of diagnosis.
About the Authors
U. A. Birukova
FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests: no conflict of interest
Russian Federation
Uliya A. Birukova - ultrasound doctor of ultrasound department.
Moscow
Competing Interests: no conflict of interest
A. A. Fedorova
FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests: no conflict of interest
Russian Federation
Anna A. Fedorova - cand. of med. sci., Chief of ultrasound department FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation; assistant of radiology department of FGBU “CGMY” AD P RF.
Moscow
Competing Interests: no conflict of interest
V. A. Lyanenko
FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests: no conflict of interest
Russian Federation
Vladimir A. Lyanenko - cand. of med. sci., Chief of emergency department.
Moscow
Competing Interests: no conflict of interest
A. L. Vladykin
FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests: no conflict of interest
Russian Federation
Alexey L. Vladikin - cand. of med. sci., Chief of surgery department.
Moscow
Competing Interests: no conflict of interest
M. A. Evseev
FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests: no conflict of interest
Russian Federation
Maksim A. Evseev - doct. of med. sci., Professor, scientific head of surgery.
Moscow
Competing Interests: no conflict of interest
А. V. Zubarev
FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests: no conflict of interest
Russian Federation
Aleksandr V. Zubarev - doct. of med. sci., Professor, scientific head of radiology FGBU Clinical hospital №1 of Administrative Directorate of the President of the Russian Federation, Chief of radiology science department of FGBU CGMY AD P RF.
Moscow
Competing Interests: no conflict of interest
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Review
For citations:
Birukova U.A., Fedorova A.A., Lyanenko V.A., Vladykin A.L., Evseev M.A., Zubarev А.V. Capabilities of ultrasound in detection of diverticulitis in conditions of emergency department. Medical Visualization. 2019;(1):43-50. (In Russ.) https://doi.org/10.24835/1607-0763-2019-1-43-50
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