Original Article

Retrospective analysis of 562 cases which diagnosed as acute appendicitis

  • Fatih Başak
  • Erdem Kınacı
  • Yahya Kemal Çalışkan
  • Arslan Kaygusuz
  • Acar Aren

IMJ 2006;7(1):16-20

Background:

In this study, we evaluated appendectomy operared patients in our hospital retrospectively and aimed to present efficiency of diagnostic tesıs and demographic data of cases.

Methods:

Files of 562 patients (321 male, 241 female, malelfemale ratio: 1.3, age range: 6-75, mean age: 29), who had operared with diagnose of acute appendicitis in emergency department of our hospital in 2003, retrospectıvely evaluated.

Results:

Cases separated into three groups. Cases with histopathologic examination reported as acute appendicitis constituted group 1 (n:469, %83.4), and cases with pathologic findings other than acute appendicitis constituted group 2 (n: ll, %1.9), and cases wıthout any pathologic findings constituted group 3 (n:82, %14.5). There is statistically difference regarding leukocyte values between group 1 and other groups. Abdarninat ultrasonography was obtained in 93 cases. Sensitivity and specificity of ultrasonography for acute appendicitis wasfound as %56.2, %76.9 respectively.

Discussion:

Acute appendicitis is see n frequently in young male population. Negative laparotomy is comman in females at sexually active ages. In these cases, advanced imaging techniques and/or tesıs will improve diagnostic efficiency.

Keywords: Acute appendicitis, negative laparotomy, ultrasonography