Open AccessA Study to Evaluate the Significance of Sherren’s Triangle Hyperaesthesia in a Treatment of Acute Appendicitis
Author(s) -
Amarnath Gupta,
Ashish Pratap Singh
Publication year - 2020
Publication title -
academia journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 2663-8347
pISSN - 2663-8339
DOI - 10.47008/ajs/2020.3.1.3
Subject(s) - medicine , acute appendicitis , appendicitis , clinical significance , sign (mathematics) , general surgery , mathematics , mathematical analysis
Background: Acute appendicitis is the most common surgical emergency. In spite of sophisticated new investigations mainstay of diagnosis depends on clinical sign and symptoms, Sherren‘s triangle hyperaesthesia is very important sign with controversial efficacy about it in available literature. The aim of this study was to explore the significance of hyperaesthesia in Sherren’s triangle in a treatment of acute appendicitis. Subjects and Methods: This study was conducted in 418 patients with 186 females and 251 males. Patients were of acute appendicitis operated for appendicectomy included in the study. Results: Sensitivity and specificity of hyperaesthesia in Sherren’s triangle were 47.7% and 42.9% respectively with positive and negative predictive values were 92.1% and 5.56%. Conclusion: Hence it indicates that hyperaesthesia in Sherren’s triangle is important sign to suspect to support diagnosis of acute appendicitis. It has minimal significance to rule out it. This sign plays very important role in a diagnosis of complicated appendicitis like obstructive appendicitis.