relation between clinical manifestation and pathological reports of acute appendicitis in children admitted in Hazrat Ali Asghar hospital

ABSTRACT

Acute appendicitis is one of the commonest medical emergencies in children. Due to rapid progression of the disease and difficulty in diagnose, different paraclinical method 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 its 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. 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 reviewed and the clinical features were compared with the pathological reports. 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. In case of unavailability of Paraclinical methods such as ultrasonography 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