Clinical presentation of patients with acute appendicitis and factors associated with delayed presentation at yekatit 12 medical college hospital

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International Journal of Development Research

Volume: 
7
Article ID: 
11333
6 pages
Research Article

Clinical presentation of patients with acute appendicitis and factors associated with delayed presentation at yekatit 12 medical college hospital

Dr. Zelalem Asefa

Abstract: 

Background: Acute appendicitis is one of the commonest surgical abdominal emergencies. Delayed presentation leads to complications. Different factors are responsible for delayed presentation. Objective: The study was conducted to assess the clinical presentation and factors responsible for delayed presentation in patients with acute appendicitis at Yekatit 12 Medical College Hospital. Methods: A retrospective analysis of patients with clinical diagnosis of acute appendicitis from September 1, 2013 to August 31, 2016. Results: The male to female ratio was 2.3:1. The mean age was 20.2 years. The typical migratory abdominal pain was observed in 85.5% of the cases. The average durations of symptoms at presentation among patients with uncomplicated and complicated appendicitis were 2.5 and 5.8 days, respectively. The mean durations of symptoms among patients with complicated appendicitis with and without history of prehospital treatment were 5.3 and 2.7 days, respectively. The mean durations of symptoms among patients with complicated appendicitis who had and had not abdominal sonography were 4.8 and 2.6 days, respectively. Conclusions: Most of our patients with acute appendicitis presented with a typical clinical presentation. Delayed presentation was associated with complicated appendicitis. Misdiagnosis, prehospital treatment and ultrasound study before surgical consultation were reasons for delayed presentation and complicated appendicitis.

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