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The relation between clinical manifestation and pathological reports of acute appendicitis in children admitted in Hazrat Ali Asghar hospital
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Salaheddin Delshad   1, Shokrollah Yousefi |
| 1- , drdelshad@gmail.com |
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Abstract: (19226 Views) |
| Abstract :
Background & Aim: Acute appendicitis is one of the commonest medical emergencies in children. Due to rapid
progression of the disease and difficulty in diagnosis, different paraclinical methods including ultrasonography,
radiology and CT scan etc, have been used in order to diagnosis the disease at early stage and thus prevent from
any related complications. However, because of unavailability of the above mentioned paraclinical procedures in
certain areas and / or it’s high cost, evaluation of clinical manifestation is very important in determining the severity
of the disease. In this study the clinical manifestation of children, who had undergone surgery with the diagnosis of
acute appendicitis, was compared with the pathological report. In this way by everything the clinical features, the
progressing of the disease could be estimated, to large extent by pathology and thus decision in regard to surgery
would be taken
Materials and Methods: In this study 58 children (including both girls and boys) between the ages of 3.5 year – 14
with the primary diagnosis of acute appendicitis underwent surgery. As a retrospective study, the medical files of the
patients were rewied and the clinical features were compared with the pathological reports.
Findings: Clinical manifestation and the pathological reports were comparable with each other. according to
results, increase in security of clinical features was associated with more rapid progression of pathology.
Conclusion: In case of unavailability of Paraclinical methods such as ultrasonograohy and CT-scan more
attention must be paid to clinical history and clinical sign and symptoms observe in a child suspected of having acute
appendicitis. By this method, early diagnosis could be accelerated and any decision in regard to surgery would be
taken accurately .As a result of unpleasant complications are prevented |
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| Keywords: Acute Appendicitis, Acute Abdomen, Perforation, Rebound Tenderness, Appendectomy |
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Full-Text [PDF 429 kb]
(4165 Downloads)
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Type of Article: Research Article |
Received: 2008/08/30 | Accepted: 2018/03/29 | ePublished: 2018/03/29
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