Clinical Study of Acute Appendicitis with Special Reference to Alvarado Score


  • Dr. Vasantrao Pawar Medical College Hospital & RC, Department of General Surgery, Nashik, 422003, India


Background: Acute appendicitis is the acute inflammation of the appendix. It is surgical emergency, which is associated with morbidity and mortality occasionally. There are many scoring systems for the diagnosis of acute appendicitis, of these Alvarado score is simple scoring system that can be instituted easily in outpatient setting. It is purely based on history, clinical examination and few laboratory tests. The objectives of the study were to evaluate efficacy of Alvarado scoring system in preoperative diagnosis of acute appendicitis and correlating it with postoperative findings. Material and Methods: A prospective study was conducted on 45 patients presenting with symptoms and signs of acute appendicitis at Dr. Vasantrao Pawar Medical College, Nashik from August 2014 to December 2016. The patient who met the inclusion criteria were evaluated using Alvarado scoring system. Result: In present study 45 cases with a clinical diagnosis of acute appendicitis were studied. Majority (44.44%) were in the age group of 21-30 years. In this study, 24 patients (53.33%) were male and 21 patients (46.67%) were female with male to female ratio (1.1:1). Pain was the most common presenting symptom (100%). Out of 45 patient 34 patients (75.56%) have score >7 and 11 patient (24.44%) have score <7 and among these 38 patients (84.44%) got operated. Appendix was inflamed in 63.16% cases. Conclusions: Alvarado scoring system is an easy, simple, cheap, reliable and safe tool in pre operative diagnosis of acute appendicitis and can work effectively in routine practice.


Alvarado Scoring System, Appendicitis

Subject Discipline


Full Text:


Kingsley DP. Some observation on appendicectomy with particular reference to technique. Be J Surg. 1969; 56:491–6

Sabiston Textbook of surgery. 19th ed. 2014. p. 1285.

Vallina VL, Velasco JM, Mc Culloch CS. Laparoscopic versus Conventional Appendicectomy. Annals of Surgery. 1993; 218(5):685–92. PMid:8239785 PMCid:PMC1243042

Brooks DW, Killen DA. Roentgenographic findings in acute appendicitis. Surgery. 1965; 57:377. PMid:14261578

Jeffery RB, Jain KA, Nghiem HV. Sonographic diagnosis of acute appendicitis.: Interpretive pitfalls Am J Roentgenol. 1994; 162:55–9. PMid:8273690

Stroman DL, Bayouth CV, Kuhn JA, et al. The role of computed tomography in the diagnosis of acute appendicitis. Am J surg. 1999; 178:485.

Fuchs JR, Schlamberg JS, shortsleeve MJ, et al: Impact of abdominal CT imaging on the management of appendicitis an update. J Surg Res. 2002; 106:131–6.

Smith DE, Kivchmer NA, Steward DR. Use of Barium enemas in the diagnosis of acute appendicitis and its complications. Am J surg. 1979; 138:829.

Rajagopalan AE, Mason JH, Kennedy N, Pawlikowski J. The value of Barium enema in the diagnosis of acute appendicitis. Arch surg. 1977; 112:531–3. PMid:849164

Fedshin P, Kelvin FM, Rice RP. Non specificity of Barium enema findings in acute appendicitis. AJR. 1984; 143:99–102. PMid:6610341

Alvarado A. A practical score for the early diagnosis of acute appendicitis. ANN Emerg Med. 1986; 5:557–64.

Fenyo G, Linberg G, Blind P, Enochsson L, Oberg A. Diagnostic decision support in suspected acute appendicitis: Validation of a simplified scoring system. Eur J Surg. 1997; 163:831–8. PMid:9414043

Charles VM. Vermiform appendix. Russel RCG, Williams NS, Bulstrode CJK, editors. Bailey and Love’s. Short practice of Surgery. 25th ed. London: Arnold; 2004. p. 1204–18.

Fashina IB, Adesanya AA, Atoyebi OA, Osinava OO, Atimomo CJ. Acute appendicitis in Logas: A review of 250. Niger Postgrad Med J. 2009 Dec; 16(4):268–73. PMid:20037623

Ali N, Aliyu S. Appendicitis and its surgical management experience at the university of Maiduguri Teaching Hospital Nigeria. Niger J Med. 2012 Apr-Jun; 21(2):223–6. PMid:23311196


  • There are currently no refbacks.