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Acute Appendicitis in Women

SAMUEL ELDAR, MD; JACK ABRAHAMSON, MB, CHB, FRCS, FACS
Arch Surg. 1987;122(10):1215. doi:10.1001/archsurg.1987.01400220125025.
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To the Editor.—After reading the article in the Archives "Acute Appendicitis in Women of Childbearing Age,"1 we would like to summarize our experience with acute appendicitis. We recently reviewed over 400 cases of patients operated on for acute appendicitis, with emphasis on the results in female patients.2

Our overall misdiagnosis rate for females of all ages was 24% and for males of all ages was 10% and was associated with a completely negative exploration in 10% and 5%, respectively. In the age group of 15 to 25 years, our misdiagnosis in females was 27%. This was similar to that of the older age groups but significantly higher than in the younger patients (11%). Our higher misdiagnosis rate in females was associated with a lower incidence of advanced disease (30% vs 39% in males) and a lower infectious complication rate (18% vs 32% in males). It would appear

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