A study of patients with acute appendicitis with normal white blood cell count

RUPESH KAWADU SONDAWLE; VARUNA JAGTAP; KALINDI BARIK

Volume : VII, Issue : VI, June - 2018

A study of patients with acute appendicitis with normal white blood cell count

Rupesh Kawadu Sondawle, Varuna Jagtap, Kalindi Barik

Abstract :

This study aims to investigate the clinical, imaging and laboratory findings for diagnosis of acute appendicitis (AA) in patients with a normal white blood cell count (WBCC).

Materials and methods: This retrospective cross-sectional study was conducted in a tertiary hospital in central India, 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