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Published in: Surgical and Radiologic Anatomy 4/2020

01-04-2020 | Computed Tomography | Original Article

Relationship between appendicitis and diameter of ileocecal lipomatosis and also ileocecal angle

Authors: Hasan Börekci, Halil İbrahim Serin, Hatice Baş, Elif Börekci

Published in: Surgical and Radiologic Anatomy | Issue 4/2020

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Abstract

Purpose

One of the most widespread surgical conditions is acute appendicitis in industrialized countries. Nevertheless, diagnosis of borderline cases is mostly troublesome and needs subsequent researches. For this reason, we aimed to investigate new parameters to improve estimation of acute appendicitis. Lymphoid hyperplasia, impacted stool, faecolith, caecal or appendiceal tumors have been accepted as causes of appendicitis formation, but anatomic variations of diameter of ileocecal lipomatosis and ileocecal angle have been never discussed before. The aim of this study was to assess the relationship between appendicitis and diameter of ileocecal lipomatosis and ileocecal angle.

Materials and methods

96 Patients (51 women, 45 men) who were found to have acute appendicitis during exploration and 67 patients (32 women, 35 men) who were not pre-diagnosed with acute appendicitis were enrolled in the study. The diameter of ileocecal lipomatosis and also ileocecal angle values were obtained via computed tomography (CT) scans.

Results

There were no significant differences between two groups in the mean of ileocecal angle (p > 0.05) but diameter of ileocecal lipomatosis values was significantly higher in the appendicitis-positive group compared with the appendicitis-negative group (p: 0.001).

Conclusions

There is a relationship between increase in diameter of ileocecal lipomatosis and appendicitis formation.
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Metadata
Title
Relationship between appendicitis and diameter of ileocecal lipomatosis and also ileocecal angle
Authors
Hasan Börekci
Halil İbrahim Serin
Hatice Baş
Elif Börekci
Publication date
01-04-2020
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 4/2020
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-019-02392-8

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