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A Prospective Analysis

Gary K. Shen, MD; Randy Wong, MD; John Daller, MD; Stuart Melcer, MD; Andrew Tsen, MD; Staton Awtrey, MD; William Rappaport, MD

Arch Surg. 1991;126(5):569-570.

Abstract
• Ninety-four adult patients undergoing appendectomy for acute appendicitis were prospectively studied during a 2-year period. Patients were divided into retrocecal (group 1; n = 27 [29%]) and anterior (group 2; n=67 [71%]) groups according to the position of the appendix. There was no statistical difference between the two groups in duration of symptoms, presenting signs and symptoms, and initial white blood cell count. Furthermore, retrocecal appendicitis was not associated with a higher rate of perforation or increased morbidity. We conclude that the retrocecal position of the appendix does not alter the presentation of appendicitis.

(Arch Surg. 1991;126:569-570)

Author Affiliations
From the Department of Surgery, University of Arizona Medical Center, Tucson.

Footnotes
Accepted for publication January 12, 1991.

Reprint requests to Department of Surgery, University of Arizona Medical Center, 1501N Campbell Ave, Tucson, AZ 85724 (Dr Rappaport).

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ABSTRACT