Sinnet P. R1, Sandeep Kumar David S2, K. Raveendran3, Benny P. B4, S. Naraintran5
INTRODUCTION
Appendicitis is one of the most common conditions causing acute abdomen. Some of the patients who are not managed by surgical methods again come with recurrent episode of acute appendicitis. Their symptoms, signs and laboratory findings are not always typical of a classical appendicitis. The study is to assess the total count in patients diagnosed with recurrent appendicitis and find, if there is any relationship between total count and histopathological result.
AIM
To study the association between leukocyte count and histopathology among patients with recurrent appendicitis.
RESULT
Study was done in Dr. SMCSI Medical College, Karakonam from January 2013-December 2015. The study included 79 patients with recurrent appendicitis who were planned for surgery by the attending surgeon. 75.9% of the patients with recurrent appendicitis had normal leukocyte count. Among them 69.3% patients were confirmed to have appendicitis and the rest negative by histopathology examination. Among the group with elevated total count, all of them had histopathologically proven appendicitis. Among the patients with normal total count the group having total count between, 8001-11000 cells/mm3, had higher frequency of appendicitis confirmed histopathologically.
CONCLUSION
In patients with recurrent appendicitis, an elevated count is more diagnostic of appendicitis, while a normal count does not confirm or disapprove a diagnosis of appendicitis.
