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[Clinical and pathological characteristics in acute complicated appendicitis]
1Department of Emergency Surgery, the First Hospital of Peking University, Beijing 100034, China.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|July 19, 2014
Summary
Acute complicated appendicitis is indicated by high white blood cell counts, muscle guarding, stercoliths, or periappendiceal fluid. Appendectomy is recommended over antibiotics in these cases.
Area of Science:
- Clinical Medicine
- Surgical Pathology
Context:
- Acute appendicitis is a common surgical emergency.
- Distinguishing between uncomplicated and complicated appendicitis is crucial for treatment decisions.
Purpose:
- To identify clinical and pathological characteristics associated with acute complicated appendicitis (ACA).
- To determine factors predicting ACA in patients undergoing appendectomy.
Summary:
- A retrospective analysis of 742 appendicitis cases identified 533 with ACA.
- ACA was significantly associated with elevated white blood cell (WBC) count (>20 × 10⁹/L), local/diffuse muscle guarding, intraluminal stercolith, and periappendiceal fluid.
- These factors were identified through χ² tests and Logistic regression analysis.
Impact:
- Findings aid in the early diagnosis of ACA.
- Highlights the importance of appendectomy as the primary treatment for ACA, rather than conservative antibiotic therapy.
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