Correlation Between Total Leukocyte Count, Neutrophil Count and Appendix Diameter on Ultrasound of Acute Appendicitis Patients

Sadia Safi; Irum Jehan; Anwer Zeb Alam; Ashraf Ullah; Shah Faisal Jamal; Rizwan Ullah; Waqas Ahmad; Aqal Zaman

doi:10.31580/pjmls.v6i3.2855

Authors

Sadia Safi Department of Radiology, Taj College of Nursing and Allied Health Sciences, Bannu, Pakistan
Irum Jehan Department of Radiology, Professional Institute of Health Sciences, Mardan, Pakistan
Anwer Zeb Alam Department of Radiology, Pakistan Institute of Medical and Management Sciences, Peshawar, Pakistan
Ashraf Ullah Department of Radiology, Tehsil Head Quarter Hospital, Mir Ali, North Waziristan, Pakistan
Shah Faisal Jamal Medical Laboratory Technology, Institute of Paramedical Sciences, Khyber Medical University, Peshawar, Pakistan
Rizwan Ullah Department of Radiology, Institute of Paramedical Sciences, Khyber Medical University, Peshawar, Pakistan
Waqas Ahmad Department of Radiology, Institute of Health Sciences, Swabi, Pakistan
Aqal Zaman Department of Microbiology and Molecular Genetics, Bahudin Zakarya University, Multan, Pakistan

DOI:

https://doi.org/10.31580/pjmls.v6i3.2855

Keywords:

Acute appendicitis, Appendix diameter, Neutrophil count, Postoperative results, Total leukocyte count

Abstract

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.

Author Biographies

Anwer Zeb Alam, Department of Radiology, Pakistan Institute of Medical and Management Sciences, Peshawar, Pakistan

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.
Ashraf Ullah, Department of Radiology, Tehsil Head Quarter Hospital, Mir Ali, North Waziristan, Pakistan

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.
Shah Faisal Jamal, Medical Laboratory Technology, Institute of Paramedical Sciences, Khyber Medical University, Peshawar, Pakistan

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.
Rizwan Ullah, Department of Radiology, Institute of Paramedical Sciences, Khyber Medical University, Peshawar, Pakistan

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.
Waqas Ahmad, Department of Radiology, Institute of Health Sciences, Swabi, Pakistan

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.
Aqal Zaman, Department of Microbiology and Molecular Genetics, Bahudin Zakarya University, Multan, Pakistan

The study's aim was to correlate total leukocyte count, neutrophil count and appendix diameter measured on ultrasound of acute appendicitis patients, to find out whether it will help in the accurate and precise diagnosis of acute appendicitis and will decrease the rate of negative appendectomy. This study was a prospective analytical study. Patients who came to the Radiology department with suspected appendicitis and had physical examinations and complete blood count done were included in the study. Their reports were used for analysis after proper informed consent from the patients. Post-operative results were taken from surgeons. A total of 111 patients who were clinically diagnosed with acute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. AA was found more at the age of 21 years. The diameter of the appendix was mentioned in the reports of 46 patients. Total leukocyte count (TLC) and Neutrophil count (NC) were mostly high in those patients whose appendix diameter was mentioned on the Ultrasound reports. A significant correlation was present between TLC, NC and appendix diameter. There was also a statistically significance correlation (p<0.001) between TLC, NC, appendix diameter and post-operative results. It was concluded from the study that mentioning diameter on ultrasound will help the surgeon make better decisions about surgery. It was observed that if the diameter of the appendix was increased and or secondary signs were seen on ultrasound there are more possibilities of increased TLC and NC of patients having suspected appendicitis.

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