Normal versus Pathological Appendix in Clinically Suspected Acute Appendicitis "Randomized Controlled Trials"

Ahmed Mohammed Nobi Bahar, Abdel Rady Abdel Salam Farghaly, Mostafa Thabet Ahmed, Mohammed Baker Mohammed kotb and Mahmoud Farouk Mohammed Sherif

Department of General surgery, Faculty of Medicine - Assiut University, Egypt
Department of General pathology, Faculty of Medicine - Assiut University, Egypt

^*Correspondance to: Mohamed B.M Kotb 

 PDF  Full Text DOI: 10.25107/2474-1647.1026

Abstract

The therapy of acute appendicitis is aimed to early diagnosis and prompts operative intervention. However, this aim is not always easily accomplished since many patients do not seek medical attention in a timely manner and the diagnosis of appendicitis can be difficult due to negative laparotomy rate about 25% is common in many reports.Aim: of this study is to correlate clinical diagnoses of acute appendicitis with results of pathology of appendix if it's normal or has under typing pathology.Patient &
Method: This is a prospective case study research, performed on 88 patients who underwent appendectomy for initial diagnosis of acute appendicitis between September 2014 and December 2014in Assiut University hospital Department of Surgery.Results: Most of normal appendix patients were females (40%) but most of inflamed appendix patients were males (60%) and gangrenous appendicitis mostly found in female (75% of gangrenous appendicitis), tumor found in two patients one was female and male. Acutely inflamed appendix was (67.9%) of patients with leukocytosois (>11000 mm3). The most clinic-pathological features found in 48% of patient.Conclusion: The high result of negative appendectomy rate is higher than accepted standard in our study. Preoperative ultrasonography is essential for reduction of negative appendectomy rate especially.Recommendations: To decrease high negative appendectomy rate, we should depend on experienced surgeons & radiologists. Laparoscopic diagnosis is useful in doubtful cases of acute abdomen. Routine histopathological examination of appendix is very important to exclude malignancy. Finally using of high resolution ultrasound scan and CT could improve the diagnostic yield of acute appendicitis.

Keywords

Negative; Positive appendectomy

Cite the article

Bahar AMN, Farghaly ARAS, Ahmed MT, ktob MBM, Sherif MFM. Normal versus Pathological Appendix in Clinically Suspected Acute Appendicitis "Randomized Controlled Trials". Clin Surg. 2016; 1: 1026.