The effect of appendix diameter on perforation in acute appendicitis cases
Abstract
Objective: The aim of the study is to examine the association between appendix diameter and perforation and to show the significance of appendix diameter in acute appendicitis cases.
Method: The data of 286 cases who were older than 18 years of age and who were operated in a tertiary hospital between 2017 and 2018 with a diagnosis of acute appendicitis were examined retrospectively. The patients’ ages, genders, pathology results, appendix diameter at abdominal tomography, white blood cell (WBC) and C-reactive protein (CRP) values were analyzed. The patients were grouped in three as perforated, non-perforated and negative appendectomy group.
Results: Of the 286 patients operated with a diagnosis of AA, 166 (58%) were male, while 122 (42%) were female and average age of the patients was 37±16.79 years. Non-perforated group consisted of 194 patients, while perforated group consisted of 56 patients and negative appendectomy group consisted of 36 patients. Average appendix diameter of the patients was 8.84±3.29 mm, while average WBC value was 13071±3726/mm3 and average CRP value was 3.44±5.15mg/L. When the patients’ appendix diameters and CRP values were compared, statistically significant difference was found between the groups (p<0.001). Average value of white blood cell was the lowest in negative appendectomy group, while it was the highest in perforated group. There was a statistically significant difference between negative appendectomy group and the other two groups in terms of white blood cell (p<0.001). There was a positive correlation between the groups in terms of appendix diameter, white blood cell and CRP (p<0.001).
Conclusions: Appendix diameter is important in the diagnosis of acute appendicitis and detection of perforated appendicitis. Appendix diameter is correlated with white blood cell and CRP.
Keywords
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References
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Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Burak Katipoglu
*
0000-0002-4347-6258
Türkiye
Ali Aygun
0000-0002-5190-1445
Türkiye
Hamza Çınar
0000-0003-1748-1392
Türkiye
Publication Date
June 30, 2019
Submission Date
May 20, 2019
Acceptance Date
June 24, 2019
Published in Issue
Year 2019 Volume: 41 Number: 2