Author(s)

Montcho Adrien Hodonou^1*, Bio Tamou-Sambo¹, Salako Alexandre Allode¹, Roméo Romaric Gbédolo¹, Djifid Morel Séto¹, Sélomé Romaric Tobomé², Moïse Francis Dossou³, Dodji Emile Mensah¹

¹Department of Surgery and Specialties, Teaching Hospital, Medicine School, University of Parakou, Parakou, Benin.
²Saint John of God Hospital Center of Tanguieta, Tanguieta, Benin.
³Teaching Hospital of Porto-Novo, Faculty of Health Science, University of Abomey Calavi, Cotonou, Benin.

Introduction: Diagnostic wanderings of acute appendicitis are responsible for serious complications or abusive appendectomies. Existing Clinico-biological scores are efficient. Objective: To determine the diagnostic efficiency of François’ score in acute appendicitis. Methodology: over 10 months, all the patients admitted in the CHUD-Parakou Emergency Department for pain in the right iliac fossa had been examined by resident students who calculated François’ score. After verification by the surgeon, patients were put into three categories: category 1 score ≥ 2; category 2, score between -6 and 2; category 3, score below -6. Sensitivity and specificity were calculated. Results: out of 54 patients selected (29 men and 25 women), 29 were classified as group 1; 19 as group 2 and 6 as group 3. An ultrasound was performed in all patients in group 2, and signs in favor of appendicitis were found in 12 patients. Of the 41 appendicectomies performed, the histologic analysis of 33 operative specimens found a pathological appendix. Sensitivity, specificity and negative predictive value per group were 100%. It has prevented almost in one every four patients (24.07%) an abusive appendectomy. Conclusion: This score would reduce diagnostic wanderings and target patient groups for imaging studies.

Acute Appendicitis, François Score, Sensitivity, Specificity, Resource-Limited Countries

Hodonou, M. , Tamou-Sambo, B. , Allode, S. , Gbédolo, R. , Séto, D. , Tobomé, S. , Dossou, M. and Mensah, D. (2018) Usefulness of a Clinico-Biological Francois’ Score in the Diagnosis of Acute Appendicitis: Experience of the University Hospital Center of Parakou, Benin. Surgical Science, 9, 91-96. doi: 10.4236/ss.2018.93009.