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To evaluate the accuracy of sonography in diagnosing acute appendicitis in King Fahad General Hospital at Albaha (KFGH). This is a retrospective cross-sectional study being performed in KFGH during 9 months (January, 2015 to July, 2016. We evaluate all admitted patients as a case of acute appendicitis . we divided them to two groups: First group those with pre operative ultrasound study only, and second group those with pre operative ultrasound study confirmed by post operativedoi:10.18535/jmscr/v4i9.16 fatcat:hupstlcw7zervfhv6lajoadhhe