DOI: 10.36347/sasjm.2015.v01i04.002

Pages: Page: 130-133

Acute appendicitis is common surgical emergency in adult population but associated with mortality and morbidity if not treated properly, with risk of complication increase with symptoms duration. The objective is to study the outcome of acute appendicitis in relation to time taken from start of symptoms to surgery. This is a prospective and multicenter study, conducted at Khartoum state hospitals .It was carried out during March - September 2015. All adult patients presented with acute appendicitis and treated were included. Excluded were pediatric cases or other causes of acute surgical abdomen. Data was collected using a constructed questionnaire and the variables include; age and gender, clinical presentation and its duration, intra-operative findings (simple inflamed, gangrenous, perforated or appendicular abscess) and outcome of management.A total of 103 patients with acute appendicitis were studied. Male to female ratio was 2.1:1 with a mean age of 26.0±10.9 years and most of them77.7% in the age group 15-30 years. Only 43(41.7%) presented by typical history; pain started in para umbilical region in 77 (74.8%) and in 24 (23%) it started in right iliac fossa. Most of the patients had duration of symptoms < 48 hours (66.1% vs. 33.9), P value 0.001. TWBC >11.000 was seen in complicated appendix, it was 66.7% and 50% in gangrenous and appendicular abscess respectively, P value 0.298. Twenty five (39%) were reported as acutely inflamed appendicitis by U/S but intraoperative 4/25(16%) found to be complicated appendix and in appendicular abscess 4/7(57.1%) were diagnosed correctly by US, P value < 0.001