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.
Acute appendicitis perforation appendix diameter abdominal pain
We thank radiologist Dr. Serdar Altay for their help in this study.
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Surgical Science Research Makaleler |
Yazarlar | |
Yayımlanma Tarihi | 30 Haziran 2019 |
Kabul Tarihi | 24 Haziran 2019 |
Yayımlandığı Sayı | Yıl 2019Cilt: 41 Sayı: 2 |