The Comparison of Histopathological Diagnosis and Preoperative Ultrasonography and Wbc Results of Cases Operated on with a Prediagnosis of Childhood Acute Appendicitis

Objective: Acute appendicitis is one of the reasons of acute abdomen that is very common in the childhood period and creates difficulty in diagnosis. In this study, the diagnostic accuracy and correlation between the histopathological diagnosis and the results of ultrasonography in childhood period acute appendicitis diagnosis and the WBC elevation rate were evaluated. Material and Methods: Between January 2013 and June 2014, preoperative ultrasonography and WBC (White Blood Cell) levels of 37 cases with a pre-diagnosis of acute appendicitis consisting of 20 males and 17 females with a mean age of 13 years and undergoing appendectomy were evaluated restrospectively. The histopathological diagnosis was the basis of the correlation. results: The results of pre-operative USG and WBC of the selected patients were compared taking the histopathological result as the gold standard. In this respect, the rates for USG were as follows: diagnostic sensitivity 78%, selectivity 43%, and accuracy 70%. WBC was high in the patients with a possibility of acute appendicitis. In these patients the rates were sensitivity 83%, selectivity 30%, accuracy 70%. 1Bucak Devlet Hastanesi, Radyoloji Bölümü, Burdur, Türkiye 2Bucak Devlet Hastanesi, Patoloji Bölümü, Burdur, Türkiye 3Bucak Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Burdur, Türkiye 4Bucak Devlet Hastanesi, Genel Cerrahi Bölümü, Burdur, Türkiye Murathan KÖKSAL1, Aslı DEMİR ŞAM2, Ferda KÖKSAL3, Halil İbrahim Altan ÖZDEMİR4, Bilal ÇELİKBAŞ4, Bayram Gökhan ÖZCAN4 Akut Apandisit Ön Tanısı ile Opere Edilen Çocuk Olgularda Preoperatif Ultrasonografi Bulguları ve Beyaz Küre Sayısının Histopatolojik Tanı ile Karşılaştırılması The Comparison of Histopathological Diagnosis and Preoperative Ultrasonography and WBC Results of Cases Operated on with a Prediagnosis of Childhood Acute Appendicitis