PARAMETERS ASSOCIATED WITH ACUTE APPENDICITIS IN PREGNANCY

Authors : Samet ŞAHİN, Eyüp Murat YILMAZ, Mahir KIRNAP, Ethem BİLGİÇ, Ahmet Ender DEMİRKIRAN

Pages : 185-191

Doi:10.17343/sdutfd.1240578

View : 96 | Download : 40

Publication Date : 2023-06-22

Article Type : Research Paper

Abstract :Objective Acute appendicitis is the most common cause of nonobstetric acute abdomen in pregnant women. The fact that sympathomatology brings to mind primarily obstetric causes in pregnant patients, physiological leukocytosis is observed throughout pregnancy, and limitations in imaging methods cause confusion in the diagnosis. This makes the need for detailed evaluation in laboratory parameters inevitable. The aim of the study is to reveal the relationship of laboratory parameters such as neutrophil lymphocyte ratio insert ignore into journalissuearticles values(NLR);, platelet lymphocyte ratio insert ignore into journalissuearticles values(PLR);, lymphopenia with the diagnosis of appendicitis and its diagnostic power. Material and Method In the evaluation of 31 patients who were operated on with the diagnosis of acute appendicitis during pregnancy between January 2017 and February 2021 were evaluated. Correlation and roc analysis were performed by evaluating patients\` demographic data, laboratory results, ultrasonography or magnetic resonance imaging reports and intraoperative findings. Results A significant correlation was found between detection of appendicitis in exploration and increased neutrophils, leukocytosis, and NLR insert ignore into journalissuearticles values(p: 0.014, p: 0.015, p: 0.020, respectively);. Again, the presence of lymphopenia, high NLR and increased palletelet / lymphocyte ratio insert ignore into journalissuearticles values(PLR); were found to be associated with prolonged hospitalization insert ignore into journalissuearticles values(p:0.037, p:0.008, and p:0.024, respectively);. Roc analysis also showed that leukocytosis [AUC: 0.938 insert ignore into journalissuearticles values(95%CI: 0-1.00, p:0.019);], neutrophil elevation [AUC: 0.938 insert ignore into journalissuearticles values(95%CI: 0-1.00, p:0.019);] and NLR [AUC: 0.917 insert ignore into journalissuearticles values(0-1.00 p: 0.025);] was found to have the power to reveal the presence of significant acute appendicitis. Conclusion It is recommended to use hemogram parameters and imaging methods effectively in the diagnosis of acute appendicitis in pregnants.
Keywords : gebelik, akut apandisit, appendektomi

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