Evaluation of the Contribution of Computed Tomography Findings and Neutrophil/Lymphocyte and Neutrophil/Platelet Ratios in the Diagnosis of Acute Epiploic Appendagitis

Abstract

Acute epiploic appendicitis (AEA) is a rare disease characterized by infection or ischemia of fat-filled sacs around the colon. It is difficult to diagnose and can be confused with other acute abdominal pain requiring surgery. Computed tomography (CT) is the gold standard technique for acute epiploic appendicitis. Our study aims to evaluate the CT findings of acute epiploic appendicitis and the diagnostic value of neutrophil-lymphocyte ratios (NLR) and neutrophil-platelet ratios (NPR). We included one hundred twenty patients, 40 of whom were diagnosed with acute epiploic appendicitis, and 80 had similar complaints of abdominal pain and needed urgent surgery for treatment. First of all, power analysis was performed to determine the number of patients in the control group. Control group patients were determined by a lottery program. Pathologies detected in the control group were acute appendicitis, peptic ulcer perforation, colon perforation, mesenteric ischemia, ureteral stone, ovarian torsion, ovarian cyst rupture, and ectopic pregnancy rupture. The mean age in the AEA group was 41.6 years, and the group was predominantly male (70%). The most common complaint of the AEA group was abdominal pain (80.1%). NLR and NPR were significantly lower in the AEA group compared to the acute abdominal pain requiring surgery group (p