[The ultrasonic diagnosis of acute appendicitis and its complications].

The article discusses the possibility of ultrasonic examination (USE) in the diagnosis of acute appendicitis and its complications. Forty-five patients were examined, 15 of them had a doubtful clinical picture of acute appendicitis and in 30 destructive acute appendicitis was suspected. During USE the vermiform process was not detected in 5 patients, uncomplicated acute appendicitis was diagnosed in 10 and complicated acute appendicitis (appendicular infiltrate, abscess) in 30 patients. Eight patients underwent laparoscopy, 29 patients were subjected to an operative intervention, 15 patients received a course of nonoperative treatment followed by appendectomy 3-6 months later. As the result of the study the USE signs of acute appendicitis and its complications were specified. USE may be of significant aid to the surgeon in the diagnosis of this disease.