Rajeev Doshi, Abhay Kumar, Suhas Taralekar, Varsha Patil, Sriram Prabhu P J


Background:  The department of surgery of Raja Isteri Pengiran Anak Saleha (RIPAS) hospital in 2008 developed a new scoring system called “Raja Isteri  Pengiran  Anak  Saleha Appendicitis” (RIPASA)  by Chong et al., for  the diagnosis of acute appendicitis in Asian population. RIPASA scoring system has shown to have higher sensitivity and specificity and diagnostic accuracy. It includes various parameters like Demographic factors like age , gender etc , clinical features ,duration of symptoms prior to reporting to surgeon.9 ,13

Methods: 100  Patients presenting with right iliac fossa pain with other signs and symptoms suggestive of acute appendicitis and admitted in Bharati Hospital and research center , Pune from August 2017 to July 2019 were included in the study after gaining informed consent. The study was carried out after ethical clearance. Base line investigations such as (Hemogram, urine routine, USG and /or CT abdomen etc) were done .Provisional diagnosis was framed and RIPASA score was given and management was done based on the scores.

Results: Patients with RIPASA score between 12 and above , 100.0% patients (30/30) underwent appendicectomy and histopathology report suggesting of Acute Appendicitis were seen in 100.0%of patients(30/30).

Conclusions: The RIPASA scoring system is a simple, low cost and highly accurate in the diagnosis of acute appendicitis


Acute appendicitis, RIPASA score, Diagnosis.

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