Background Appendicitis is one of the most common diseases requiring emergency surgical intervention. There are several indications that the diagnosis appendicitis harbours two different entities, one progressing to gangrene and perforation (advanced) and one that resolves spontaneously (phlegmonous). An immunologically driven pathogenesis in appendicitis has been suggested on the basis of an i...

BACKGROUND The aim of this study was to establish the diagnostic value of leucocyte count and neutrophil percentage in both diagnosing simple appendicitis and predicting complicated appendicitis. METHODS The patients who underwent appendectomy with a clinical diagnosis of acute appendicitis (AA) between January 2011 and December 2012 were studied retrospectively. The data of total WBC count, ...

BACKGROUND This study is an attempt to clarify the role of C-reactive protein (CRP) as a surgical indication marker for appendicitis. METHODS One hundred and fifty patients who underwent appendectomies and had pathologically confirmed appendicitis were reviewed between May 1, 1999 and September 31, 2007. The correlation between preoperative clinical factors and the actual histological severit...

PURPOSE Recently, randomized controlled trials have reported that conservative therapy can be a treatment option in patients with noncomplicated appendicitis. However, preoperative diagnosis of noncomplicated appendicitis is difficult. In this study, we determined predictive factors to distinguish patients with noncomplicated appendicitis from those with complicated appendicitis. METHODS A to...

INTRODUCTION The prevailing view on appendicitis is that the main aetiology is obstruction owing to faecoliths in adults and lymphoid hyperplasia in children. Faecoliths on imaging studies are believed to correlate well with appendicitis. METHODS A retrospective chart review was conducted of 1,014 emergency appendicectomy patients between 2001 and 2011. Faecolith prevalence in adult and paed...

PURPOSE This study aimed to determine whether routine urinalysis may serve as a tool in discriminating between acute appendicitis and perforated appendicitis in children. BASIC PROCEDURES We prospectively collected 357 patients with clinically suspected acute appendicitis. Urinalysis was performed in patients with clinically suspected acute appendicitis before surgical intervention. Routine u...

BACKGROUND AND OBJECTIVE Appendicectomy for acute appendicitis is one of the most commonly performed surgical procedures. Acute appendicitis has remained a clinical entity and an ongoing diagnostic challenge. A retrospective study was performed to determine histological diagnosis, demographic data, the rate of perforated appendicitis and negative appendicectomies. METHODS Histopathological re...

It is believed that the appendix will be perforated if the surgery of an acute appendicitis is delayed. However, some of the recent studies, contested this hypothesis and shown that only a delay in the treatment cannot fully explain perforated appendicitis. This study aimed to examine the prevalence and risk factors for perforated appendicitis in patients with acute appendicitis. A cross-sectio...