Diagnosis error in appendicectomy

Abstract

Introduction: The quick or inexact evaluation of the patients, it can take to an unnecessary laparotomy that is not exempt of morbidity-mortality.

The clinic is fundamental for the preoperative diagnostic of the acute appendicitis although is not always easy because there are not symptoms, signs or complementary exams that assure us a correct diagnosis in all the cases.

Patients and Methods: This study is observational, descriptive, and retrospective of 118 patients for operate with diagnosis preoperative acute appendicitis, in the II CCQca, FCM-UNA, in a period between January 2006 and January 2007.

Results: 118 patients for operate with diagnosis preoperative acute appendicitis, the mean age was 41.4% (range 14-70 ages), with males 65 and 53 females.

The most common sintoms were the abdominal pain, nausea, vomiting and anorexia.

The abdominal pain in right iliac fossa, was observed in 85 patients, the Blumberg signs in 104 patients, abdominal rigidity in 103 patients and fever <37,5 in 65 patients.

The evolution time is 37,5hs (range 3-72hs), was observed leukocyte in 83 patients and urine pathology 11 patients.

The find surgical conflicting was 2 gynecological pathology and 19 patients had no appendix inflammation, all cases were later confirmed histologically.

Time of light was 20hs (range 1-17 days).

There were no postoperative deaths and the morbidity rate was 5% (6patients).

Conclusions: The incidence of finding a normal appendix in appendicectomy is 17,7%.

The clinic is fundamental for diagnostic for acute appendicitis.