Comparison Of Radiological Findings With Blood Leukocyte Count In The Diagnosis Of Acute Appendicitis

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Objective: Acute appendicitis (AA) is the most common cause of acute abdomen. It is diagnosed with anamnesis and findings of physical examination. But in some cases it is difficult to decide for operation as physical examination findings presents insufficient for diagnosis. In such cases radiological studies including computed tomography (CT) and ultrasound (US) and blood sample analysis helps to correct diagnosis. There is no consensus on superiority and specificity of these diagnostic tools in literature. We aimed to compare the contribution of CT- US findings and leukocyte count on diagnosis of acute appendicitis. Material-Method: A total of 32 patients operated with diagnosis of AA included to study respectively. Patient’s US, CT findings and blood leukocyte counts are compared. Patients with a higher value of 10.000/mm^3 leukocyte counts are accepted as positive on the means of diagnosis of AA. Results: 18 patient’s (56.25%) US findings and 28 patient’s (87.5%) CT findings were positive on the means of AA diagnosis. On the other hand 30 (93.75%) patient’s leukocyte counts were positive. Blood leukocyte counts were statistically significant compared with US and CT findings (p 0.05). Conclusion: Diagnostic value of blood leukocyte counts was found to be higher compared to both US and CT findings in diagnosis of AA.

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Computed tomography , ultrosonography , acute appendicitis

Kocatepe Medical Journal

139

Kocatepe Medical Journal