International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 9 | Research Article | Open Access
Abeysinghe*
Faculty of Medicine, Wayamba University of Sri Lanak. ,Kuliyapitiya, Sri Lanka
*Correspondence to: Abeysinghe
Fulltext PDFThe clinical assessment override the use of laboratory investigation in diagnosis of acute appendicitis. However WBC count, Neutrophil percentage are frequently done in patient suspected acute appendicitis. The aim of the study is to analyze the role of WBC count, Neutrophil percentage and CRP in improving the accuracy of diagnosis of acute appendicitis.
108 patient who underwent appendectomy were reviewed between 01/01/2000 to 30/11/2000. The diagnosis was confirm with histopathalogical reports. The correlation between pre-operative clinical diagnosis in histologically proven appendicitis was assessed with routine inflammatory markers including White Blood Cell count(WBC), Neutrophil Percentage(NP) And C- Reactive Protein(CRP).
Out of 108 patients of study group 52 were male and 48 were female with the age range from 7 years to 72 years. High WBC count, Neutrophil Percentage and CRP were seen in 82 ,71and 78 of patients respectively. In those with positive appendicitis WBC count, Neutrophil Percentage and CRP were seen in 70 (88.60%), 69 (86.07%) and 71 (89.87%) respectively. High WBC count, neutrophil count and CRP were seen in 12(41.37%), 10 (34.48%) and 7 (24.18%) in histologically negative group.
Conclusion-The raised value of WBC count, Neutrophil Percentage and CRP enhance the diagnosis of acute appendicitis. There are specific in diagnosis in acute appendicitis and all three parameters are equally important. However these parameters are not specific for acute appendicitis.
Acute appendicitis; Inflammatory markers; Sensitivity; Specificity
Abeysinghe, Abeysinghe. Accuracy in Routine Inflammatory Markers in Diagnosis of Acute Appendicitis Compare with Surgeon’s Clinical Decision.Int Clinc Med Case Rep Jour. 2023;2(9):1-6.