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PurposeThis work had a specific goal in mind to compare the accuracy of a surgical outcome diagnosis of acute appendicitis with that of an abdominal ultrasonography examination. MethodsA total of 100 patients involved in this study, including children and adults, were examined (37 females and 63 males), with ages ranging from 5 to 45 years. The USG was used to diagnose acute appendicitis in all of the patients. Results The study involved 100 patients who presented with symptoms and signs suggestive of acute appendicitis in the surgical and emergency departments of the medical city complex. There were 63 males (63%) and 37 females (37%) in the group. The patients ranged in age from 5 to 45 years old, with an average age of 15.36 ± 10.41. One hundred patients had an abdominal ultrasound, but only 78 had surgery (appendectomy) and 22 did not (conservative treatment), according to surgical opinion. In about n= 70, 89.7% of patients, the surgery resulted in a positive appendectomy, while in about n= 8, 10.3% of patients, there was another diagnosis. Table 2 shows that eight of the 78 patients who had a negative appendectomy also had clinical signs and symptoms of acute appendicitis. One of the eight patients had perforated appendicitis, and another had a mild enlargement of the right ovary, two of them had an appendix mass, while the other four had a normal appendix. ConclusionsThe accuracy of ultrasound in diagnosing acute appendicitis was found to be low in this study, as a result, acute appendicitis with a diameter of less than 6 mm should be tested with other diagnostic criteriain order to make better management decisions and have better patient care. Finally, When the patient is a female, ultrasound is more useful. If the outcome is negative, however, additional modalities such as a CT scan may be requested into a more diagnostic tool.