Prevalence of Normal Pathology among Patients Operated with Diagnosis of Acute Appendicitis in Jiroft
Iranian Journal of Emergency Medicine,
Vol. 9 No. 1 (2022),
Introduction: Acute appendicitis is one of the most common causes of abdominal surgery, the diagnosis of which is made mostly based on clinical symptoms and imaging, leading to appendectomy surgery; but in some cases, the post-operation results show that there has been no appendicitis. This is called a negative or normal appendectomy. This study was performed with the aim of evaluating the frequency of normal pathology in patients who underwent surgery with the diagnosis of acute appendicitis in Imam Khomeini Hospital in Jiroft, Iran.
Methods: This study was a cross-sectional (descriptive-analytical) study. 95 patients undergoing surgery with diagnosis of acute appendicitis in Imam Khomeini Hospital in Jiroft in 2019 were selected using census method and entered the study. The required information was extracted from the patients' medical records and recorded in a researcher-made checklist. The collected data were analyzed using descriptive statistics and Independent t-test,chi-square, and Fisher's test with SPSS version 18 statistical software.
Results: 48.5% of the participants were male and 51.5% were female. Normal appendectomy was observed in 9 patients (9.5%). The frequency distribution of negative appendectomy was statistically significant based on the age of the patients and was more common at the age of 30 to 50 years (P = 0.027) .The other studied variables had no correlation with normal appendectomy.
Conclusion: The results of the present study showed that a normal appendectomy is observed in one in ten patients undergoing surgery, which shows more favorable results in Jiroft compared to other statistics provided. Correct and regular use of assessment methods can help significantly reduce the rate of negative appendicectomy.
- diagnostic errors
- differential diagnosis
How to Cite
Javadi M, Moradi Y, Behnoud S, Rostampour F. Evaluation of the Sensitivity and Specificity C-reactive protein, and leukocyte count in the diagnosis of acute appendicitis and its types. Pajouhan Scientific Journal. 2013;11(2):9-14.
Mohebbi H, Mehrvarz S, Toliat S, Kabir A. Negative Appendectomy and its Related Factors in 1211 Cases Undergoing Appendectomy. Razi Journal of Medical Sciences. 2004;11(41):473-81.
Vakili Z, Sayyah M. Pathological evaluation of appendiceal lesions at the ward of pathology of Kashan University of Medical Sciences from 1372 to 1374. KAUMS Journal (FEYZ). 2000;3(4):96-103.
Banazadeh H, Daghaghalhe H, Momivand S. Diagnostic value of clinical symptoms/signs and leukocytosis in Appendicitis at Imam Hossein University Hospital, 1997-99. KAUMS Journal (FEYZ). 2000;4(2):83-90.
ErfaniFam T, Izadi S, Niksirat A. Factors Increasing the Likelihood of Positive Pathology among One Hundred Appendectomy Cases in Ayatollah Mousavi Hospital of Zanjan. J Adv Med Biomed Res. 2013;21(88):56-62.
Kundiona I, Chihaka O, Muguti G. Negative appendicectomy: evaluation of ultrasonography and Alvarado score. Central African Journal of Medicine. 2015;61(9-12):66-73.
AR S. Sonography versus the Alvarado Scoring System for the diagnosis of acute appendicitis. Tehran University Medical Journal TUMS Publications. 2008;66(6):408-12.
Mariadason J, Wang W, Wallack M, Belmonte A, Matari H. Negative appendicectomy rate as a quality metric in the management of appendicitis: impact of computed tomography, Alvarado score and the definition of negative appendicectomy. The Annals of The Royal College of Surgeons of England. 2012;94(6):395-401.
Pooria A, Pourya A, Gheini A. Appendicitis: Clinical implications in negative appendectomy. International Journal of Surgery Open. 2021;29:45-9.
Pedram A, Asadian F, Roshan N. Diagnostic accuracy of abdominal ultrasonography in pediatric acute appendicitis. Bulletin of Emergency & Trauma. 2019;7(3):278.
- Abstract Viewed: 56 times
- pdf (فارسی) Downloaded: 29 times