Table of Contents
Advances in Emergency Medicine
Volume 2016, Article ID 8313604, 5 pages
http://dx.doi.org/10.1155/2016/8313604
Research Article

Can Clinical Findings Prevent Negative Laparotomy in Parasitosis Mimicking Acute Appendicitis?

1Hitit University Medical School, Department of Surgery, 19030 Corum, Turkey
2Numune Education and Research Hospital, Department of Surgery, Ankara, Turkey
3Education and Research Hospital, Corum, Turkey
4Hitit University Medical School, Department of Biochemistry, 19030 Corum, Turkey
5Hitit University Medical School, Department of Pathology, 19030 Corum, Turkey

Received 31 January 2016; Accepted 7 April 2016

Academic Editor: Borna Relja

Copyright © 2016 Musa Zorlu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. Rates of negative laparotomy (NL) for acute appendicitis have been reported as 15% and parasitosis contributed to 2%. This study was planned to reduce the rates of NL by preoperative determination of parasitosis. Methods. In retrospective examination of 2730 appendectomy specimens in Hitit University Department of General Surgery between 2008 and 2012, 55 patients were determined with parasitosis and compared with 102 age-matched randomly selected patients with lymphoid hyperplasia. Results. The parasite group comprised 63.6% females with a mean age of 15.1 years. The number of patients in the parasitosis group increased from city centre to rural areas of towns and villages (). While a lower rate of sonographic findings was found in the parasitosis group, the findings of inflammation in the histopathological evaluation were significantly low (, , resp.). A significant difference was determined between groups in respect of the eosinophil and haematocrit values. In the differentiation of patients with parasites, eosinophil of >2.2% was determined as a diagnostic value. Conclusion. It is important to determine parasitosis to prevent NL. When acute appendicitis is considered for young patients living in rural areas, the observation of high eosinophil together with negative sonographic findings should bring Enterobius vermicularis parasitosis to mind and thereby should prevent NL.