The Value Of History Taking, Physical Examination In The Study Of Acute Appendicitis In Comparison To Histopathology
Iraqi Postgraduate Medical Journal,
2006, Volume 5, Issue 1, Pages 46-53
AbstractABSTRACT: BACKGROUND: Acute appendicitis is the most common surgical procedure all over the world, inspite of modem investigation like (MRI, CT scan, U/S) and others, the diagnosis of appendicitis remains essentially mixture of observation, clinical acumen and surgical science (1). METHODS : This prospective study was conducted during the period (from 1-10-2002 to 1-11-2004) based upon 113 cases presented as acute appendicitis 74 female, and 39 male. RESULTS: All these cases diagnosed preoperatively as acute appendicitis clinically, the correct preoperative diagnosis was in 82.5 %, wrong in 17.5 %. CONCLUSION: Most of the difficulty in diagnosis occur in females, the total number of the patient with negative laparatomy was 10 cases out of 113, "some of the cases presented with signs and symptom of acute appendicitis, proved to be other pathology by operative findings, which may also necessitate Laparatomy".
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