Acute appendicitis clinico : pathological study

الملخص EN

Acute appendicitis is one of the most common surgical emergencies in the world.

The aim of the present project was to study the clinical presentations, pathological features and laboratory test of acute appendicitis in Babylon province-IRAQ.

A total of 2000 patients with suspected acute appendicitis who underwent surgery were included in this prospective study.

Clinical history , detailed physical examination, pathological features and laboratory investigations were reviewed.

The results showed in this study showed that 1240 patients (62%) had appendicitis, 320 patients (16%) of them had acute appendicitis with complications , and the remaining 440 patients (22%) had normal appendicitis .

Right iliac fossa pain, nausea and vomiting were seen in 85%of cases.

Tachycardia, fever seen in 95% cases.

Tenderness in the right iliac fossa and rebound tenderness were seen in 88% .

The WBC count was over 10,000, in 85%,the WBC count was sensitive and valuable test.

Ultrasound examination found to be low sensitivity.

General urine examination was not valuable in the diagnosis.

It is concluded that acute appendicitis is a condition, which requires immediate treatment.

The use of highly sensitive tests favors the appropriate diagnosis and treatment and minimizes the risk of missing acute infection cases.