Abstract
Objective: We conduct this study in order to compare the results of different methods used in acute appendicitis diagnosis with histopathological findings.
Background: The diagnosis of acute appendicitis is mainly clinical and to confirm the diagnosis ultrasonography (USG) and Computerized Tomographic Scan (CT) are performed. Intraoperative findings are a certain indication of the actual diagnosis and for more confirmation histopathology is required.
Method: 136 patients were included in this cross-sectional based study in Saudi Arabia. We analyses the results of clinical diagnosis, CT scan, USG and intraoperative in compare to histopathological findings using SPSS software. We considered "p-values" <0.05 statistical significance.
Results: We included 136 patients, 72 (52.9%) were males and 64 (47.1%) were females, their mean years of age were 30.9 (11.83). Average hours of hospital stay were 34.29 (34.88). The mean of WBCs and neutrophils count in male patients was 10.8 (4.19) and 7.62 (4.11) respectively. There was no statistically significant difference between CT and intraoperative findings as well as clinical diagnosis when compared with histopathological findings. On the other hand, significant difference was found between USG and histopathology.
Conclusion: We need further researches in the use of USG in diagnosis of acute appendicitis.