Reliability of Leukocytosis in Diagnosing Acute Appendicitis.
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Date
2020-08
Journal Title
Journal ISSN
Volume Title
Publisher
Akshantala Enterprises Private Limited
Abstract
Acute appendicitis is a frequently encountered surgical disease. Detection is difficult even with imaging and blood investigations. Total leukocyte count is a promising investigation. Its role in the confirmation of acute appendicitis is investigated and analysed in the present study. MethodsPatients having acute appendicitis treated by surgical intervention (appendicectomy) were included in the study. The leukocyte count measured before surgery was compared with histopathology findings of the appendix. Parameters of diagnostic accuracy of leukocytosis were measured by standard formulae. ResultsThe sensitivity and specificity of leucocytosis were found to be 76 percent and 12.5 percent respectively. The positive predictive value and negative predictive value of leucocytosis was 65 percent and 20 percent respectively. Overall diagnostic accuracy was 56 percent. The results were compared with histopathology of acute appendicitis. ConclusionsLeukocytosis is a helpful investigation to support the diagnosis of acute appendicitis.
Description
Keywords
Leukocytosis, Gangrene of Appendix, Negative Appendectomy
Citation
Panjabrao Vaidya Vikram, Lamture Yashwant R., Ramteke Harshal, Mundada Aditya, Gajbhiye Varsha, Yeola Minakshi. Reliability of Leukocytosis in Diagnosing Acute Appendicitis.. Journal of Evolution of Medical and Dental Sciences. 2020 Aug; 9(32): 2274-2278