A comparative study between diagnostic accuracy of c-reactive protein and total leukocyte count in acute appendicitis

Volume : VII, Issue : VIII, August - 2018

Dr. Prasad D. Hake, Dr. Rajiv M. Mulmule

The present study is titled A comparative study between diagnostic accuracy of c–reactive protein and total leukocyte count in

acute appendicitisThis is an observational study is conducted in our institute which included (clinically and ultrasonographically

diagnosed) cases of acute appendicitis presenting to surgery OPD or the emergency department between 01/01/2015 to

30/06/2016(18 months). This study has included 100 patients of which 60 were males and 40 were females between 11–65 years.

Ultrasonography (abdomen and pelvis) has been done to confirm the diagnosis made on clinical examination, considering

ultrasonography as a gold standard procedure for the diagnosis of acute appendicitis and then C–reactive protein and Total

leukocyte count has been measured. The histopathological analysis showed changes of acute appendicitis in 96 patients (96%)

and normal appendix in 4 patients (4%). Out of 96 patients whose histopathological analysis showed changes of acute

appendicitis, 71 were acute non complicated appendicitis and 25 were acute complicated appendicitis (gangrenous or perforated

etc). Most common age group for acute non complicated appendicitis in males was between 31–40 years. Most common age

group for acute complicated appendicitis in males was between 21–30 years. Whereas most common age group for acute non

complicated appendicitis in females was between 11–20 years. Most common age group for acute non complicated appendicitis

in males was between 21–30 years. The diagnostic accuracy of TLC is 90% whereas diagnostic accuracy of CRP is 79%.