The correlation between laboratory markers and computed tomography severity index in acute appendicitis


COD: 01_2018_08_2743 Categorie: ,

Yeliz Akturk, Serra Ozbal Gunes, Baki Hekimoglu

Ann Ital Chir, Digital Edition 2018, 7
Epub Ahead of Print – October 25

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A M: This study aimed to evaluate and to investigate the association of some laboratory markers with the stage of the
acute appendicitis.
MATER AL AND METHODS: The hematological parameters (white blood cell count, red cell distribution width, platellet
distribution width, mean corpuscular volume, and mean platelet volume values) and tomography scans of 200 patients
who admitted to the emergency department with abdominal pain were retrospectively reviewed. Computed tomography
grading about the severity of the cases was carried out by two radiologists, as grade 0 for normal appendix to grade 3
for perforated appencities. The hematological results of the patients were recorded for each severity group and were compared
to detect whether there was a change in the hematological parameters as the severity in CT increases.
RESULTS: There was no difference in white blood cell count and red cell distribution width levels but mean platelet
volume seemed to decrease as the tomography severity index increased.
CONCLUS ONS: Our data suggests that the most reliable instrument to detect appendicitis in the emergency environment
is the computed tomography.