Use of laboratory parameters in the differential diagnosis of ovarian cyst rupture and acute appendicitis

Authors : Süleyman KARDAŞ, Ecem ERMETE GÜLER, Umut PAYZA, Ahmet KAYALI, Mehmet Göktuğ EFGAN, Osman Sezer ÇINAROĞLU

Pages : 30-34

View : 35 | Download : 41

Publication Date : 2023-08-08

Article Type : Research Paper

Abstract :The study aimed to analyze the diagnostic power of laboratory parameters in the differential diagnosis of acute appendicitis and ovarian cyst rupture originating from the right lower quadrant in female patients presenting to the emergency department with right lower quadrant pain. Between 2016 and 2021, 200 female patients who presented to the emergency department with acute right lower quadrant pain and were diagnosed with acute appendicitis or ovarian cyst rupture by abdominal tomography and post-operative pathology results were included in the study. Laboratory parameters of the patients were analyzed. The role of the obtained results in the differential diagnosis was investigated. The diagnoses of acute appendicitis and ovarian cyst rupture were randomized 1:1 for the female patients included in the study. The groups were modeled to have similar demographic characteristics. Neutrophil, lymphocyte, leukocyte, leukocyte, MPV, platelet, and CRP values were analyzed. Neutrophil/lymphocyte and platelet/lymphocyte ratios were calculated. Inflammation parameters, N/L, and P/L ratios were significantly higher in patients with acute appendicitis. High inflammation findings shown by laboratory data support acute appendicitis. Patients with acute appendicitis have a stronger inflammatory reaction. High inflammatory markers are interpreted in favor of appendicitis. Laboratory parameters facilitate clinical decision-making and support the preliminary diagnosis in the differential diagnosis of female patients presenting to the emergency department with right lower quadrant pain.
Keywords : Over kist rüptürü, Apandisit, Laboratuvar Pareametreleri