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Differences in Abdominal Pain Etiology: Is it from Appendicitis or Ovarian Cyst?
Received: 29 Jan 2019 | Accepted: 19 Mar 2019 | Available online: 27 Mar 2019
J Clin Obstet Gynecol. 2019;29(2):57-61
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/
Objective: In childbearing age, abdominal pain presents a unique diagnostic dilemma. These patients are often evaluated by a general surgeon and gynecologist to determine pain etiology. The aim of this study was to compare the preoperative parameters in patients with ovarian cysts, evaluate the negative appendectomy factors in patients undergoing appendectomy with acute appendicitis (AA) diagnosis, and predict negative appendectomy. Material and Methods: The medical records of patients diagnosed with AA between March 2011 and September 2018 were retrospectively evaluated. The patients were categorized into AA and normal appendix (NA) groups on the basis of postoperative pathological outcomes. The preoperative American Society of Anesthesiology scores, Alvarado scores, white blood cell count (WBC), neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio, cyst size, and postoperative pathological results were recorded. Results: A total of 86 patients with ovarian cyst were enrolled. In 26 (30%) patients, NA was observed from pathology results. The best cutoff values were determined as 5.5, 11.600 cells/mm3, 4.6, and 19 mm for Alvarado score, WBC, NLR, and cyst size, respectively. Conclusion: Our study determined that the likelihood of AA increases among patients with a higher Alvarado score and WBC count and NLR increases with an increase in the likelihood of NA among patients with a larger cyst size.
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