Akademik Veri Yönetim Sistemi
Ist Turkish International Colorectal Surgery Congress, XVIIIth Turkish Colon and Rectal Surgery Congress, Antalya, Türkiye, 30 Kasım - 04 Aralık 2021, ss.21
Background: Acute appendicitis (AA) is one of the most common surgical emergencies in pregnant women and the most common cause of non-obstetric acute abdomen. It is diffcult to diagnose AA during pregnancy due to the physiological and anatomical changes that occur during pregnancy and the limited use of radiological methods. Terefore laboratory parameters very important. We aimed to examine signifance of laboratory parameters in pregnacy. Methods: Te data of 130 pregnancy patients who diagnosis of AA between 2010–2021 were analyzed retrospectively. Twenty patients whose blood parameters were afected by causes other than AA were excluded. Results: Te patients were divided into three groups. Group I: negative appendectomy (n=19); Group IIa: uncomplicated appendicitis (n=59); Group IIb: complicated appendicitis (n=32). Tere was no signifcant diference concerning mean age and gestational week. Complication rates were 5.26 % in Group I, 3.38 % in Group IIa, and 12.5 % in Group IIb, with signifcant diferences. Conclusions: Twenty-six parameters were evaluated. However, only the parameters with high diagnostic value were discussed. WBC, neutrophil, NLR, PLR, total, direct and indirect bilirubin levels can be used diagnosis of AA. WBC, neutrophil, NLR, platelet, PLR, LDH, total, direct and indirect bilirubin levels can be used to determine the complicated appendicitis.
Keywords: Acute appendicitis, Pregnancy