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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2018 / Cilt: 24 - Sayı: 4

Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy

Gebeliğin evresine göre ultrasonografi ve laboratuvar testlerin akut apandisit tanısına etkisi

Burak IŞIK
Tolga ŞAHİN
Adil BAŞKIRAN
Volkan İNCE
Sezai YILMAZ
İpek BALIKÇI ÇİÇEK
Egemen ÇİÇEK
Abuzer DİRİCAN
Pages
333–336
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Lymphocyte count was significantlylower (p>0.05), whereas NLR and PLR were significantly higher in group 2 (p

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Normal physiologic changes during pregnancy result in similar laboratory and symptomatology changes as thoseduring acute appendicitis (AA), making the diagnosis extremely difficult.
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Key Findings & Data:The aim of the present study was to analyze the efficacy ofconventional laboratory and radiologic tests in the diagnosis of AA according to different stages of pregnancy.METHODS: Twenty-five pregnant patients with pathologically confirmed AA operated at our department between 2012 and 2017were retrospectively analyzed in terms of changes in conventional laboratory parameters as well as neutrophil-to lymphocyte (NLR)and platelet-to-lymphocyte (PLR) ratios to aid the diagnosis of AA according to different stages of pregnancy.RESULTS: There were no significant changes in C-reactive protein levels, leukocyte and neutrophil counts, and accuracy of ultrasonographybetween patients in the first (group 1) and second + third trimesters (group 2) (p>0.05).
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Conclusion & Impact:Lymphocyte count was significantlylower (p>0.05), whereas NLR and PLR were significantly higher in group 2 (p
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Normal physiologic changes during pregnancy result in similar laboratory and symptomatology changes as thoseduring acute appendicitis (AA), making the diagnosis extremely difficult. The aim of the present study was to analyze the efficacy ofconventional laboratory and radiologic tests in the diagnosis of AA according to different stages of pregnancy.METHODS: Twenty-five pregnant patients with pathologically confirmed AA operated at our department between 2012 and 2017were retrospectively analyzed in terms of changes in conventional laboratory parameters as well as neutrophil-to lymphocyte (NLR)and platelet-to-lymphocyte (PLR) ratios to aid the diagnosis of AA according to different stages of pregnancy.RESULTS: There were no significant changes in C-reactive protein levels, leukocyte and neutrophil counts, and accuracy of ultrasonographybetween patients in the first (group 1) and second + third trimesters (group 2) (p>0.05). Lymphocyte count was significantlylower (p>0.05), whereas NLR and PLR were significantly higher in group 2 (p

Özet

AMAÇ: Gebelik sürecinde olan fizyolojik değişiklikler akut apandisit semptom bulgular ile benzerlik gösterdiği için tanıyı zorlaştırmaktadır. Bu sebeple gebelik süresince tanıya yardımcı olabilecek özgün radyolojik ve laboratuvar testleri yoktur. Bu çalışmada amacımız gebelik trimesterlerine göre laboratuvar ve radyolojik testlerin hangi evrede daha etkili olduğunu araştırmaktır. GEREÇ VE YÖNTEM: 2012–2017 yılları arasında kliniğimizde ameliyat edilen ve patoloji raporlarıyla onaylı akut apandisit tanısı alan gebe hastaların laboratuvar verilerinden nötrofil lenfosit oranı (NLO), platelet lenfosit oranı (PLO) analiz edilerek gebeliğin hangi evrelerinde daha anlamlı olduğu araştırıldı. BULGULAR: Ortalama yaş 25 (19–38) yıl. Ortalama gebelik haftası 17 (6–31) ortalama lenfosit sayısı 12.4 (6.3–22.4) hücre/m3 ultrasonografi %60 hastada apandisit ile uyumlu bulgular saptandı. Lenfosit sayıları, C-reaktif protein değerleri, nötrofil sayıları ve ultrasonografi değerleri açısından 1. tirmester (grup 1) ve 2 ve 3 üncü trimester (grup 2) hastalar arasında anlamlı bir fark saptanmadı (p>0.05). Lenfosit sayısı grup 2’de belirgin düşük izlendi (p>0.05). Nötrofil lenfosit oranı ve PLO oranları grup 2’de belirgin yüksek izlendi (p

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Cite This Article

IŞIK, B., ŞAHİN, T., BAŞKIRAN, A., İNCE, V., YILMAZ, S., ÇİÇEK, İ. B., ÇİÇEK, E., DİRİCAN, A. (2022). Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 24 - Sayı: 4, 333–336. https://ajindex.com/articles/644359

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References (2)

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