Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Plastic Surgery
  •  Transplant Surgery
  •  Cardiovascular Surgery
  •  Bariatric Surgery
  •  Ophthalmic Surgery
  •  Thoracic Surgery
  •  Minimally Invasive Surgery
  •  Surgical Oncology


Citation: Clin Surg. 2019;4(1):2433.Research Article | Open Access

Acute Appendicitis in Patients with Leukemia: A Dilemma in Diagnosis and Surgical Treatment

Chen Wang, Han-Zhang Huang, Yu-Jun Yu, Yu He and Shao-Liang Han

Department of General Surgery, Wenzhou Medical University, China

*Correspondance to: Shao-Liang Han 

 PDF  Full Text DOI: 10.25107/2474-1647.2433


Acute appendicitis in patients with leukemia is rare, which mainly complicates leukemic involvement of appendix or associates with cases of relapse of the disease. Therefore, it is a challenge to make correct diagnosis and treatment of appendicitis. The clinical and surgical data of 23 leukemia patients with acute appendicitis were analyzed retrospectively. There were 15 male and 8 female, with median age of 25.6 years old (ranging: 15 to 44 years). The underlying disease was 5 acute leukemia and 18 chronic leukemia. The main symptoms were abdominal pain (100%), fever (87.0%), vomiting (44.4%), diarrhea (13.0%) and abdominal distension (21.7%). The median WBC count <2 × 109/L at the time of diagnosis was in one case, between 1 to 2 × 109/L in 4, <5 × 109/L in 4; and the median platelet count <20 × 109/L was in one case, <50 × 109/L in 8, and >50 × 109/L in 14; Hb>60 g/L was in 17 cases, and <60g/L in 6. All 23 patients received surgery, 17 with open appendectomy and 6 with laparoscopic appendectomy. A high index of suspicion must be kept when leukemia patients have right lower quadrant abdominal pain, and an early surgery is an effective treatment option for leukemia patients with appendicitis.


Appendicitis; Leukemia; Neutropenia; Appendectomy

Cite the article

Wang C, Huang H-Z, Yu Y-J, He Y, Han S-L. Acute Appendicitis in Patients with Leukemia: A Dilemma in Diagnosis and Surgical Treatment. Clin Surg. 2019; 4: 2433.

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Sildenafil Transiently Delays Early Alveolar Bone Healing of Tooth Extraction Sockets
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Could Collaboration between Emergency Department Clinicians and Dentists More Effectively Treat Patients with Acute Dental Pain?
 Abstract  PDF  Full Text
Rehabilitation of Vegetative State after Operation for Severe Traumatic Brain Injury (TBI) in the Elderly for 6 Months: A Case Report and Literature Review
 Abstract  PDF  Full Text
View More...