A study of C - Reactive protein is an marker for acute appendicitis.

Mani, Vadivel; Lakshmanan, Shalini; Badrachalam, Ramya; Muninathan N.

Background - Acute appendicitis is the commonest cause of acute abdominal pain requiring surery. Emergency appendectomy done for suspected cases of acute appendicitis is a common procedure. The rate of negative appendicectomies remains high despite various techniques and investigations used to diagnose acute appendicitis. The objective of this study is to evaluate the value of C reactive protein in patients operated for clinical suspicion of acute appendicitis. Methods - The present study conducted in 75 patients who were clinically diagnosed as acute appendicitis and posted for appendicectomy in General Surgery Department of Meenakshi Medical College, Kanchipuram during the period from 1st January 2023 to October 31st 2023. Preoperatively blood for C Reactive protein was done. All patients were subjected to histopathological examination postoperatively which was taken as gold standard. CRP results were correlated with histopathological reports to evaluate their role in diagnosis of acute appendicitis. Results and Conclusion - In present study, CRP has highest sensitivity and specificity (90%, 80%). It was observed that negative appendicitis could be safely ruled out and surgery can be deferred in these patients .It would reduce the rate of negative appendicectomies. CRP is found to significantly increase the diagnostic accuracy. When CRP is negative acute appendicitis is very unlikely and surgery can be safely deferred in these patients thereby reducing the negative appendicectomy rates.

C-reactive protein; SURGERY; APPENDICITIS; APPENDECTOMY; ABDOMINAL pain; MEDICAL schools

Pravara Medical Review, 2024, Vol 16, Issue 4, p33

0975-0533

Academic Journal

10.36848/PMR/2024/00000.10225