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

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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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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of General Surgey, School of Medicine, Bozok University, Yozgat, Turkey

    Hasan Börekci

  2. Department of Radiology, School of Medicine, Bozok University, Yozgat, Turkey

    Halil İbrahim Serin

  3. Department of Biology, Faculty of Science and Letters, Bozok University, Yozgat, Turkey

    Hatice Baş

  4. Department of Internal Medicine, School of Medicine, Celal Bayar University, Manisa, Turkey

    Elif Börekci

Authors
  1. Hasan Börekci
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  2. Halil İbrahim Serin
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  3. Hatice Baş
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  4. Elif Börekci
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Contributions

BH: Project development, data collection and management. SHI: radiological interpretation and data analysis. BH: data analysis and statistics and also manuscript writing and editing. BE: manuscript writing and editing. All the authors read and approved the final manuscript.

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Correspondence to Hasan Börekci.

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The authors declare that they have no conflict of interest.

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The research was conducted ethically in accordance with The Code of Ethics of the World Medical Association (Declaration of Helsinki).

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Börekci, H., Serin, H.İ., Baş, H. et al. Relationship between appendicitis and diameter of ileocecal lipomatosis and also ileocecal angle. Surg Radiol Anat 42, 437–441 (2020). https://doi.org/10.1007/s00276-019-02392-8

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  • DOI: https://doi.org/10.1007/s00276-019-02392-8

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