AI Article Synopsis
- The study aimed to assess the effectiveness of ultrasonographic and Doppler findings in distinguishing between simple and complicated appendicitis in pediatric patients.
- A total of 50 patients with diagnosed appendicitis were examined, with the majority having simple appendicitis (82%), and significant differences in CRP levels and periappendiceal fatty tissue thickness were found between the two groups.
- The conclusion indicated that while Doppler ultrasonography was not effective in distinguishing between the two types of appendicitis, higher CRP levels and increased mesenteric tissue thickness were useful indicators for diagnosing complicated appendicitis.
Article Abstract
Objective: To evaluate the utility of laboratory ultrasonographic and Doppler ultrasonographic findings in the differentiation of simple and complicated appendicitis.
Methods: A prospective study was conducted, including pediatric patients who underwent surgery with the diagnosis of appendicitis.
Results: Fifty patients, who were found to have appendicitis on ultrasonographic examination, were included. The mean age was found to be 12.80 ± 3.67 years, with 30% female and 70% male. The patients were histopathologically divided into two groups: simple appendicitis (Group 1, 41 patients, 82%) and complicated appendicitis (Group 2, 9 patients, 18%). CRP (C-reactive protein) levels (p = 0.004) and periappendiceal fatty tissue thickness (PFI) (p < 0.005) were found to be statistically significantly higher in Group 2 compared to Group 1. The portal vein (PV) diameter and peak systolic velocity (PSV) values were significantly higher in the study group compared to the control group (p = 0.033, p = 0.001).
Conclusion: Doppler ultrasonographic examination did not significantly differentiate complicated from simple appendicitis. The CRP value is an independent risk factor in the diagnosis of complicated appendicitis, and the presence of a significant increase in mesenteric tissue thickness is one of the important criteria for differentiating complicated appendicitis from simple appendicitis.
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| http://dx.doi.org/10.1002/jcu.23811 | DOI Listing |
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