Year 2020, Volume 33 , Issue 1, Pages 35 - 38 2020-01-31

Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count

Veli VURAL [1]


Objectives: Even after 130 years have passed since the first appendectomy, diagnosing acute appendicitis can still be challenging. The objective of this study was to investigate clinical, imaging and laboratory findings of patients diagnosed with acute appendicitis in order to determine whether white blood cell count is helpful in the diagnosis. Materials and Methods: Parameters of Alvarado score, patients’ complaints, physical examination and laboratory findings were recorded. Appendiceal diameters of patients detected with ultrasound (US) were also recorded. Results: Of the 98 patients, 89 patients (91%) had an appendiceal diameter wider than 8 mm and 9 patients (9%) had an appendiceal diameter of 8 mm and smaller in the preoperative US. Pathology was normal in 8 out of 9 patients (89%) with a diameter of 8 mm and below; and 9 out of 89 patients (9%) with a diameter above 8 mm (p<0.05). Sensitivity and specificity of the 8-mm cut-off was 99% and 47% respectively. Positive and negative predictive values were 90% and 89% respectively. Conclusion: Distribution of pathology results with respect to appendiceal-diameters revealed that there was an obvious threshold between normal and pathology-proven appendicitis. This outcome highlights the importance of imaging in the diagnosis.
Appendicitis, Diagnostic ultrasound, White blood cell count
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Primary Language en
Subjects Medicine
Journal Section Original Research
Authors

Author: Veli VURAL (Primary Author)
Institution: School of Medicine, Akdeniz University Hospital
Country: Turkey


Dates

Publication Date : January 31, 2020

Bibtex @research article { marumj681990, journal = {Marmara Medical Journal}, issn = {1019-1941}, eissn = {1309-9469}, address = {}, publisher = {Marmara University}, year = {2020}, volume = {33}, pages = {35 - 38}, doi = {10.5472/marumj.681990}, title = {Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count}, key = {cite}, author = {VURAL, Veli} }
APA VURAL, V . (2020). Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count. Marmara Medical Journal , 33 (1) , 35-38 . DOI: 10.5472/marumj.681990
MLA VURAL, V . "Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count". Marmara Medical Journal 33 (2020 ): 35-38 <https://dergipark.org.tr/en/pub/marumj/issue/52168/681990>
Chicago VURAL, V . "Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count". Marmara Medical Journal 33 (2020 ): 35-38
RIS TY - JOUR T1 - Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count AU - Veli VURAL Y1 - 2020 PY - 2020 N1 - doi: 10.5472/marumj.681990 DO - 10.5472/marumj.681990 T2 - Marmara Medical Journal JF - Journal JO - JOR SP - 35 EP - 38 VL - 33 IS - 1 SN - 1019-1941-1309-9469 M3 - doi: 10.5472/marumj.681990 UR - https://doi.org/10.5472/marumj.681990 Y2 - 2019 ER -
EndNote %0 Marmara Medical Journal Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count %A Veli VURAL %T Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count %D 2020 %J Marmara Medical Journal %P 1019-1941-1309-9469 %V 33 %N 1 %R doi: 10.5472/marumj.681990 %U 10.5472/marumj.681990
ISNAD VURAL, Veli . "Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count". Marmara Medical Journal 33 / 1 (January 2020): 35-38 . https://doi.org/10.5472/marumj.681990
AMA VURAL V . Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count. Marmara Med J. 2020; 33(1): 35-38.
Vancouver VURAL V . Difficulties in indicating appendectomy; diagnosis of appendicitis in patients with normal white blood cell count. Marmara Medical Journal. 2020; 33(1): 38-35.