The value of preoperative diagnostic tests in acute appendicitis, retrospective analysis of 196 patients
نویسندگان
چکیده
BACKGROUND In this study our aim was to evaluate the diagnostic value of preoperative laboratory and radiological studies for appendicitis. METHODS The clinical data of 196 patients who have undergone conventional appendectomy between March 2007 and April 2008 were collected retrospectively. Patients were examined for age, sex, white blood cell count, ultrasonography results, histopathological diagnosis and hospital stay. RESULTS Negative appendectomy rate was 17.3% (27% for female, 11.5% for male). White blood cell counts were found to be high in 83% for acute appendicitis group and %61 for negative appendectomy group. There were 66 (34%) patients who had negative USG findings for acute appendicitis. Of these patients, histopathological examination revealed acute appendicitis in 46 patients whereas 20 patients had normal appendix. Hospital stays were 2.79 +/- 1.9 and 2.66 +/- 1.7 days for negative and positive appendicectomies respectively. CONCLUSIONS Besides the improvement of diagnostic tests for acute appendicitis, we could not sufficiently reduce the negative appendectomy rate.
منابع مشابه
Diagnostic Accuracy of Acute Appendicitis by Ultrasound in Hospital Emergency
Background Acute appendicitis is the most common medical condition requiring immediate abdominal surgery.Medical ultrasound is a non-intrusive, non-expensive and available diagnostic method. In this study, the accuracy of ultrasound in diagnosis of acute appendicitis in hospital emergency was evaluated. Materials and Methods This retrospective cohort study was performed at Ahvaz Imam Khomeini h...
متن کاملThe Study Of Diagnostic Value of Elevation of Serum Amylase as a Predictive Factor for Appendiceal Perforation in Children with Acute Appendicitis
Background Recent studies indicate increased serum amylase in children with acute appendicitis. The objective of the current study was to determine the diagnostic accuracy of raised serum amylase level in prediction of perforated appendicitis in children with acute appendicitis. Materials and Methods In this cross-sectional study, 61 children (aged 3 to 15 years) who underwent appendectomy su...
متن کاملCorrelation between Clinical, Sonographic and Pathologic Findings of Patients Undergoing Appendectomy
Introduction: Acute appendicitis is the most common cause of acute abdomen and is considered as a surgical emergency. Approximately, 10% of patients with acute appendicitis and delayed diagnosis can face many complications. This study was designed to examine the correlation between ultrasound and pathological findings in patients with appendicitis and aimed t...
متن کاملInvestigation Study the Specificity and Sensitivity of Ripasa and Alvarado Score in the Diagnosis of Acute Appendicitis in Patients Referred to Shaheed Rajaee Hospital [2016-2018]
Introduction: Appendicitis is one of the most prevalent causes of abdominal pain requiring surgery. Diagnosis of appendicitis is one of the important challenges of surgeons in emergency care. Delay in the diagnosis of appendicitis is associated with an increase in disability and mortality. The timely and correct diagnosis of appendicitis is necessary to reduce the complications of appendicitis ...
متن کاملبررسی ارزش تشخیصی هایپربیلی روبینمی در آپاندیسیت حاد
Background and purpose: Appendectomy is the most common emergency surgery and diagnosis of this clinical problem is of great importance in decreasing the complications and treatment costs. In this study the diagnostic value of bilirubin level and WBC count in acute appendicitis were compared. Materials and methods: A cross-sectional study was performed in patients attending Emergency Departm...
متن کامل