Appendicitis versus pelvic inflammatory disease. A diagnostic dilemma

A. Z. Najem, D. J. Barillo, C. R. Spillert, J. C. Kerr, E. J. Lazaro

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

In order to determine whether any clinical or laboratory findings were helpful in differentiating acute appendicitis (AP) from acute pelvic inflammatory disease (PID), this retrospective study was undertaken. Records of all female patients 12 to 50 years of age, undergoing laparotomy with a preoperative diagnosis of AP over the past 15 years, were reviewed and pertinent data recorded. In comparing AP (n = 106) with PID (n = 39), longer duration of symptoms, relationship of onset to pain to the menstrual cycle, and frequent requests for gynecological consultation distinguished the PID from the AP cases. Although complete reliance cannot be placed on any clinical or laboratory finding in differential AP from PID, the final satisfactory outcome justifies laparotomy when the diagnosis cannot be established by other means.

Original languageEnglish (US)
Pages (from-to)217-222
Number of pages6
JournalAmerican Surgeon
Volume51
Issue number4
StatePublished - 1985

All Science Journal Classification (ASJC) codes

  • Surgery

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