Diagnosis of Appendicitis in Patients with a Normal White Blood Cell Count; A Cross-Sectional Study

Journal Title: Bulletin of Emergency And Trauma - Year 2018, Vol 6, Issue 2

Abstract

Objective: To investigate the clinical, imaging and laboratory findings for diagnosis of acute appendicitis (AA) in patients with a normal white blood cell count (WBCC). Methods: This retrospective cross-sectional study was conducted in Ankara Numune Training and Research Hospital, Ankara, Turkey, during a 1-year period. To determine diagnostic factors in AA in patients with normal WBCC, medical records of eligible patients were reviewed for demographic and clinical variables, as well as patient outcome. Results: A total of 105 patients that had undergone appendectomy and were found to have a normal WBCC were included in the study. Of these patients, 53 (50.5%) were men and 52 (49.5%) were women. The mean age of the patients was 34.2±12.3 (min 14, max 78). The negative exploration rate was identified as 19%. In the multivariate analysis, only the diameter of appendix was statistically significant (p=0.002). ROC analysis revealed the cut off appendiceal diameter as 8 mm. Conclusion: In patients suspected of AA due to ≥8 mm appendiceal diameter determined by imaging, we recommend surgical treatment even if WBCC and neutrophil count are normal.

Authors and Affiliations

Sadettin Er, Bülent Çomçalı, Ahmet Soykurt, Bülent Cavit Yüksel, Mesut Tez

Keywords

Related Articles

Advanced Trauma Life Support (ATLS) in Hungary; The First 10 Years

Advanced Trauma Life Support (ATLS) programs are recognized as the standard educational trauma program worldwide. Data suggest that ATLS has a positive impact on the value of trauma care. The ATLS Hungary program has bee...

Small Bowel Obstruction Secondary to Femoral Hernia; Case Report and Review of the Literature

Femoral hernias account for 2% to 4% of groin hernias, are more common in women, and are more appropriate to present with strangulation and require emergency surgery.This condition may lead to symptoms of bowel obstructi...

Avulsion of Ampulla of Vater Secondary to a Blunt Abdominal Injury Treated with Pancreatoduodenectomy; A Case Report and Literature Review

The incidence of complex hepatobiliary injury secondary to blunt abdominal injuries varies between 3.4 and 5%. A 25-year old male patient underwent an urgent operation due to a motorcycle accident. During intraabdominal...

Effects of Pre-Injury Anti-Platelet Agents on Short-Term Outcome of Patients with Mild Traumatic Brain Injury: A Cohort Study

Objective: To determine the effects of pre-injury consumption of anti-platelet agents on the 30-day outcomes of patients with mild traumatic brain injury (TBI). Methods: This prospective cohort study was conducted at thr...

Prevalence of Fracture in Healthy Iranian Children Aged 9–18 Years and Associated Risk Factors; A Population Based Study

Objective: To determine the prevalence of fractures and associated risk factors in healthy Iranian children and adolescents. Methods: In this cross sectional population based study, 478 healthy Iranian children and adole...

Download PDF file
  • EP ID EP314052
  • DOI 10.29252/beat-060207
  • Views 71
  • Downloads 0

How To Cite

Sadettin Er, Bülent Çomçalı, Ahmet Soykurt, Bülent Cavit Yüksel, Mesut Tez (2018). Diagnosis of Appendicitis in Patients with a Normal White Blood Cell Count; A Cross-Sectional Study. Bulletin of Emergency And Trauma, 6(2), 128-132. https://europub.co.uk/articles/-A-314052