Effect of Time in the Development of Perforated Appendicitis

Kemal Atahan, Enis Aslan, Orhan Üreyen, Atilla Çökmez, Ercüment Tarcan


Background: The aim of this study was to elucidate the natural history of appendicitis with respect to prehospital duration of pain before operation.

Methods: We retrospectively evaluated 363 patients who were operated with a pre-diagnosis of acute appendicitis at our hospital. The patients were divided into three groups as acute, phlegmonous, and perforated according to histological and clinical findings. Preoperative white blood cell counts (WBC) and ultrasound reports, age, gender, time before attendence and postoperative hospital stay were recorded.

: The mean time of pain duration before operation for perforated appendicitis was not significantly longer for patients > 50 years of age compared to younger age groups with perforation. Postoperative complications found higher in group 3. Analysis stratified by age and gender, the total duration of pain before operation was not statistically significant. WBC count and postoperative stay in hospital of Group 3 was significantly higher. Concordance between ultrasound and pathology was not statistically significant.

Conclusion: Patient delay in presentation is the predominant factor determining the incidence of complicated appendicitis, and this delay is not influenced by age or gender. Negative appendectomy rates were higher in females who were in reproductive ages. Ultrasound did not improve the diagnostic accuracy when compared to the clinical assessment.



Acute abdominal pain; Acute appendicitis; Diagnosis

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics






Journal of Current Surgery, quarterly, ISSN 1927-1298 (print), 1927-1301 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.currentsurgery.org   editorial contact: editor@currentsurgery.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.