Significance of laboratory parameters in diagnosing acute appendicitis during pregnancy

2021 ◽  
Author(s):  
Rıfat Peksöz ◽  
Esra Dişçi ◽  
Abdulkadir Kaya ◽  
Enes Ağırman ◽  
Ercan Korkut ◽  
...  
2010 ◽  
Vol 27 ◽  
pp. 160-161
Author(s):  
V. Marjanovic ◽  
V. Djordjevic ◽  
I. Budic ◽  
R. Jankovic ◽  
B. Stosic

Author(s):  
Mustafa Yeni ◽  
Rıfat Peksöz

Background: Abdominal pain constitutes the most common complaint for geriatric patients who present to the emergency department, with nearly 20% suffering from acute appendicitis (AA). Although key for diagnosis, clinical symptoms tend to be weak and atypical in the elderly. Therefore, patients present late to health institutions. Hence, prognosis and complication rates are worse in the elderly. Here, we aimed to reveal the role of basic laboratory parameters in diagnosing AA and determining disease severity. Methods: 143 elderly patients who underwent appendectomy were retrospectively analyzed. The patients were divided into three groups based on AA severity as Group I: negative appendectomy (n=15); Group IIa: uncomplicated appendicitis (n=79); Group IIb: complicated appendicitis (n=49). Results: We found no difference between the groups for age, sex, or comorbid diseases (p>0.05). As the time of admission to the hospital increases, the severity of the disease increases. Group IIb had higher length of stay and complication rates (p<.0.05) Conclusions: Preoperative WBC, neutrophil, NLR, MPV, CRP, and direct and total bilirubin levels can be used as biomarkers to determine AA diagnosis in the elderly. NLR, PLR, RDW, CRP, and direct and total bilirubin levels can be used to determine the presence of complications in appendicitis.


Author(s):  
Praveen Agrawal

Introduction: The diagnosis of acute appendicitis is generally clinical and once it is diagnosed, operative management ensues. Abdominal pain is the main presenting complaint of patients with acute appendicitis. The diagnostic sequence of colicky central abdominal pain which is followed by vomiting with migration of the pain to the right iliac fossa. The site of maximal tenderness is often said to be over McBurney's point. Specialist investigations are rarely needed to confirm a diagnosis of acute appendicitis, and the diagnosis is predominantly a clinical one. Judicious use of urine and blood tests, for inflammatory response variables, allow exclusion of other pathologies and provide additional evidence to support a clinical diagnosis of appendicitis. Material and Methods: Every patient with acute onset of right lower quadrant abdominal pain and without previous history of appendectomy was considered as suspected of having acute appendicitis. Every patient with right iliac fossa pain and without history of appendectomy is suspected of having appendicitis until proven otherwise were included in the study. All Clinical and laboratory tests relevant to acute appendicitis were done among study participants. In Clinical parameters appetite, diarrhea, dysuria, vomiting, signs of localized peritonitis i.e. rebound tenderness and or guarding and pain migration was observed.in laboratory parameters, CRP, complete blood count (CBC) were measured and analysed. Patient’s demographic characteristics were noted. Results: A total of 100 patients were included in the study of which 50 were included in the control and 50 in case group. Mean age in control group was 29±7.23 years while in acute appendicetomy group was 29 ±8.77 years. In control group 44% were male and 56 % were female while in acute appendicitis 42% were male and 58 % were female. All clinical presentations were statistically significant in case and control group. CRP was positive in 8 (16%) in control group while in Acute appendicitis group it was 21 (42%)  (P=0.0071). Conclusion: CRP did not contribute to the overall diagnostic accuracy. The successful diagnosis of acute appendicitis can be done through proper clinical examination and adequate evaluation of laboratory parameters Keywords: Acute Appendicitis, CRP, appendicetomy


1999 ◽  
Vol 34 (4) ◽  
pp. 378-380 ◽  
Author(s):  
Huh ◽  
S-M Hong ◽  
Kim ◽  
B-S Kim ◽  
K-H Lee ◽  
...  

2010 ◽  
Vol 3 (10) ◽  
pp. 10
Author(s):  
MARY ANN MOON
Keyword(s):  

Swiss Surgery ◽  
2002 ◽  
Vol 8 (3) ◽  
pp. 121-122 ◽  
Author(s):  
Halkic ◽  
Abdelmoumene ◽  
Gintzburger ◽  
Mosimann

Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.


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