Vázquez-Estudillo G, Ochoa-Viveros EY, Larracilla-Salazar I, Rodarte-Cajica G, Chiharu M

Language: Spanish
References: 25
Page: 534-538
PDF size: 155.68 Kb.

ABSTRACT

Objective: To identify the concordance of the macroscopic diagnosis with the histopathological diagnosis in patients surgically treated for Acute Appendicitis (AA) in the Naval General Hospital of High Specialty (HOSGENAES). Methods: All the patients with probable AA operated on appendectomy, in the general surgery service of the HOSGENAES, the histopathological report was recovered with support of the HIS-2 electronic file system of the hospital, the agreement was made by Cohen’s kappa index. Results: In this study of 200 cases of AA, when categorized by groups in relation to the AA phase in the postoperative period, 5 (2.5%) cases were diagnosed by the surgeon as appendages apparently healthy or without inflammatory signs, 73 (36.5%) as congestive AA or catarrhal, 97 (48.5%) as phlegmonous or suppurative, 20 (10%) as gangrenous or necrotic and 5 (2.5%) as perforated. Histopathological diagnosis yielded the following figures: 10 (5%) cases of appendices without inflammatory signs, 61 (30.5%) cases of congestive or catarrhal AA, 107 (53.5%) phlegmonous or suppurative, 11 (5.5%) as gangrenous or necrotic and 11 (5.5%) as perforated. Conclusions: We obtained a low concordance (kappa: 0.18) in the diagnosis of AA among surgeons and pathologists when classifying it by phases.

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