The effect of appendix diameter on perforation in acute appendicitis cases

Burak KATİPOGLU; Ali AYGUN; Hamza ÇINAR

doi:https://doi.org/10.7197/223.vi.567892

Makale detayları

The effect of appendix diameter on perforation in acute appendicitis cases

Yazarlar:

Burak KATİPOGLU | Ali AYGUN | Hamza ÇINAR

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 2, pp.392-397

Belge Tipi:

Makale

Yayın Tarihi:

6/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922565

DOI:

https://doi.org/10.7197/223.vi.567892

Özet:

 


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. 



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Makale detayları

The effect of appendix diameter on perforation in acute appendicitis cases

Yazarlar: Burak KATİPOGLU | Ali AYGUN | Hamza ÇINAR

Ana Başlıklar: Sağlık teşvikleri

Dergi: Cumhuriyet Medical Journal 2019 Vol.41 Issue 2, pp.392-397

Belge Tipi: Makale

Yayın Tarihi: 6/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000922565

DOI: https://doi.org/10.7197/223.vi.567892

Sayı

Yazarlar:

Burak KATİPOGLU | Ali AYGUN | Hamza ÇINAR

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 2, pp.392-397

Belge Tipi:

Makale

Yayın Tarihi:

6/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922565

DOI:

https://doi.org/10.7197/223.vi.567892