Abstract

Aim: The aim of the study is to evaluate the diagnostic value of anamnesis, clinical findings and laboratory data in the diagnosis of acute appendicitis. Methods: Between January 2001- April 2004, the patients underwent surgery due to acute appendicitis were evaluated retrospeetively. Anamnesis, physical findings, axillary and rectal fever and laboratory results (white blood cell (WBC) and polymorph nuclear leukocyte (PMNL)) were assesed. Chi-square test was used for statistical analysis. Results: The study included 225 patients (male 157, female 68). Of these, the diagnosis was consitent with appendicitis in 214 patients. All patients had positive physical findings. Bowel sounds were significantly reduced or absent (p<0.05). Axillary and rectal temperature were higher, especially in gangrenous and perforated appendicitis (p<0.05). The WBC and PMNL values were not statistically different between patients with appendicitis and those with non-appendicitis (p>0.05) Conclusion: Physical examination by an experienced surgeon is the gold standard. On the other hand, bovuel sounds, axillary and rectal fevers are helpful for the diagnosis of acute appendicitis.