TY - JOUR AU - Suwanthanma, Weerapat AU - Suvikapakornkul, Ronnarat AU - Lertsithichai, Panuwat AU - Kanjanapanjapol, Siroj AU - Euanorasetr, Chakrapan PY - 2008/12/29 Y2 - 2024/03/28 TI - Accuracy of Per-rectal Examination for Diagnosis and Predicting Type of Appendix in Patients with Acute Appendicitis JF - The Thai Journal of Surgery JA - Thai J Surg VL - 29 IS - 4 SE - Original Articles DO - UR - https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241039 SP - 133-136 AB - <p><strong>Introduction:</strong> Type of appendix is a well-recognized factor responsible for difficulty in appendectomy. Traditionally per-rectal examination should be performed in all patients with acute abdomen. Our goal of this study was to demonstrate the accuracy of per-rectal examination for diagnosis of acute appendicitis and to predict type of appendix by the result of per-rectal examination.</p><p><strong>Material and Methods:</strong> We reviewed the relationship between positive per-rectal examination and all types of appendix in patients with acute appendicitis from January 2006 to October 2006 at our institution.</p><p><strong>Results:</strong> There were 142 patients in the study including 68 males. The mean age at diagnosis was 32.8 years in male and 40.7 years in female. Per-rectal examination was performed in 113/142 (80%) patients. At operation, pelvic type was the most common type. Accuracy of per-rectal examination for diagnosis of acute appendicitis and predicting pelvic-type appendicitis are 52.3% and 48% respectively.</p><p><strong>Conclusion:</strong> Our study demonstrated that the accuracy of per-rectal examination as one of clinical diagnostic tools had low sensitivity and specificity and could not be used routinely as a predictor of type and diagnosis of acute appendicitis.</p> ER -