The role of total leucocyte count and C reactive protein in assisting with the diagnosis of acute appendicitis

Introduction: Once patients present with pain in the right lower quadrant, one of most common surgical conditions that they have to treat is acute appendicitis. Our aim study value preoperative C - reactive protein and total leucocyte count diagnosing appendicitis correlate its grading as compared Histopathological reports.Material Methods: This hospital based retrospective comparative conducted Department General Surgery at Yenepoya Medical College Hospitals, Mangalore, a period 5 years from, 2014-2019, evaluate accuracy leukocyte Reactive Protein (CRP) diagnosis All above age 15 diagnosed clinically subjected appendicectomy were included. Patients history recurrent iliac fossa, appendicular mass or peritonitis concomitant where C-reactive Leukocyte Count elevated excluded.Results: There are about 80.6% cases appendicitis, 2.3% mass, 8.4% complicated 8.0% malignancy 0.8% others. CRP level had sensitivity 86.27% specificity 66.67% predicting Total 87.65% 100% appendicitis.Conclusion: Inflammation known cause an increase CRP, but after complications occurred, this much more pronounced. The measurement counting leucocytes on their own could be sufficient prevent negative appendectomies.