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Abnormal urinalysis in appendicitis.

J H Scott, M Amin, J I Harty

    The Journal of Urology
    |May 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Abnormal urinalysis results in acute appendicitis patients may indicate a ruptured or inflamed appendix near the urinary tract. This finding was more common in female patients.

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    Area of Science:

    • Urology
    • Gastroenterology
    • Pediatric Surgery

    Background:

    • Acute appendicitis is a common surgical emergency.
    • Urinalysis is a routine diagnostic test.
    • Inflamed appendix proximity to the urinary tract can cause urinary symptoms.

    Purpose of the Study:

    • To correlate abnormal urinalysis findings with operative results in acute appendicitis.
    • To investigate the association between urinalysis abnormalities and appendix location.

    Main Methods:

    • Retrospective review of 100 patients (50 adults, 50 children) with acute appendicitis.
    • Analysis of urinalysis results (occult blood, RBCs, WBCs) using clean-catch specimens.
    • Correlation of urinalysis findings with intraoperative observations.

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    Main Results:

    • Abnormal urinalysis noted in 18 adults and 12 children.
    • Abnormal findings were more frequent in female patients.
    • 53% of patients with abnormal urinalysis had an inflamed or ruptured appendix near the urinary tract.

    Conclusions:

    • Abnormal urinalysis can be a significant indicator in diagnosing acute appendicitis, especially when the appendix is near the urinary tract.
    • The study highlights the importance of considering urinary findings in appendicitis diagnosis.
    • Further research may explore the specific mechanisms linking appendicitis and urinalysis abnormalities.