<ArticleSet>
<Article>
<Journal>
<PublisherName>Trauma Research Center</PublisherName>
<JournalTitle>Bulletin of Emergency And Trauma</JournalTitle>
<Issn>2322-2522</Issn>
<Volume>6</Volume>
<Issue>2 APR</Issue>
<PubDate>
<Year>2018</Year>
<Month>03</Month>
<Day>26</Day>
</PubDate>
</Journal>
<ArticleTitle>Diagnosis of Appendicitis in Patients with a Normal White Blood Cell Count; A Cross-Sectional Study</ArticleTitle>
<FirstPage>128</FirstPage>
<LastPage>132</LastPage>
<Language>EN</Language>
<AuthorList>
<Author>
<FirstName>Sadettin</FirstName>
<LastName>Er</LastName>
<Affiliation>. mesuttez@yahoo.com</Affiliation>
</Author>
<Author>
<FirstName>Bülent</FirstName>
<LastName>Çomçalı</LastName>
</Author>
<Author>
<FirstName>Ahmet</FirstName>
<LastName>Soykurt</LastName>
</Author>
<Author>
<FirstName>Bülent</FirstName>
<MiddleName>Cavit</MiddleName>
<LastName>Yüksel</LastName>
</Author>
<Author>
<FirstName>Mesut</FirstName>
<LastName>Tez</LastName>
</Author>
</AuthorList>
<History>
<PubDate>
<Year>2017</Year>
<Month>08</Month>
<Day>23</Day>
</PubDate>
<PubDate>
<Year>2017</Year>
<Month>11</Month>
<Day>09</Day>
</PubDate>
<PubDate>
<Year>2017</Year>
<Month>11</Month>
<Day>06</Day>
</PubDate>
</History>
<Abstract>Objective: To investigate the clinical, imaging and laboratory findings for diagnosis of acute appendicitis (AA) in patients with a normal white blood cell count (WBCC).Methods: This retrospective cross-sectional study was conducted in Ankara Numune Training and Research Hospital, Ankara, Turkey, during a 1-year period. To determine diagnostic factors in AA in patients with normal WBCC, medical records of eligible patients were reviewed for demographic and clinical variables, as well as patient outcome.Results: A total of 105 patients that had undergone appendectomy and were found to have a normal WBCC were included in the study. Of these patients, 53 (50.5%) were men and 52 (49.5%) were women. The mean age of the patients was 34.2±12.3 (min 14, max 78). The negative exploration rate was identified as 19%. In the multivariate analysis, only the diameter of appendix was statistically significant (p=0.002). ROC analysis revealed the cut off appendiceal diameter as 8 mm.                         Conclusion: In patients suspected of AA due to ≥8 mm appendiceal diameter determined by imaging, we recommend surgical treatment even if WBCC and neutrophil count are normal.</Abstract>
<ObjectList>
<Object>
<Param>Acute appendicitis</Param>
</Object>
<Object>
<Param>White blood cell count</Param>
</Object>
<Object>
<Param>Diagnosis</Param>
</Object>
<Object>
<Param>Appendix diameter</Param>
</Object>
</ObjectList>
</Article>
</ArticleSet>