Authors : A. Gholizadeh Pasha, B. Khorasani, R. Hashemi Seyed and A.A. Akbari Kamrani
Abstract: Appendicitis is a most common surgical disease throughout the world. Appendicular mass may develop during the course of this disease. The purpose of this study was to assess and comparison of the clinical manifestations and outcome of appendicular mass in elderly and nonelderly patients. Via a retrospective study from April 1999 to April 2010, 1140 cases were diagnosed appendicitis of which 64 cases had appendicular mass who admitted at the Department of Surgery. The demographic data, clinical manifestations as well as outcome of the disease were recorded and were compared between elderly and non-elderly patients. Data analysis by SPSS with Chi-square (χ2) and t-test. About 1140 cases with appendicitis (9% elderly patients, 91% nonelderly), 64 patients (39 males, 25 females) with appendicular mass (21 elderly = 7 male, 14 female with mean age 67.5 years, 43 non-elderly = 32 male, 11 female with mean age 31 years) were evaluated. The proportion of female to male in elderly patients was more than non-elderly (p<0.05). The most common clinical findings in elderly and non-elderly patients were anorexia (57 vs. 88.4%), RLQ pain (61.9 vs. 81.3%), vomiting (38.1 vs. 74.4%) and fever (28.6 vs. 46.5%), respectively. Tenderness, rebound tenderness and mass lesion in elderly and nonelderly patients were seen in 81 vs. 88.4%, 62 vs. 67.4% and 76.1 vs. 58% cases, respectively. Symptoms in elderly patients were lower than that non-elderly but signs only detection of mass in elderly patients was higher (p<0.05). Duration of hospitalization in patient with abdominal pain <7 and >7 days was 75% >7 days and 63.6% >7 days, respectively. Residence of patients in this study was: urban = 39% and rural = 61%. The 59 cases (17 (81%) elderly, 42 (98%) non-elderly) were responded to medical treatment. Anorexia, vomiting, tenderness, rebound tenderness and mass lesion are the most clinical and physical findings. Duration of hospitalization in patient with long time abdominal pain (>7 days), significantly is more than the patients with abdominal pain <7 days. First line in treatment of appendicular mass in most of patient (elderly and non-elderly) is medical treatment alone.
A. Gholizadeh Pasha, B. Khorasani, R. Hashemi Seyed and A.A. Akbari Kamrani, 2010. Comparison of Clinical Manifestations and Outcome of Appendicular Mass Between Elderly and Non-Elderly Patients. Research Journal of Biological Sciences, 5: 805-808.