Unworthy Appendectomies in acute Appendicitis: Analysis of Causes and Approaches to Reducing the Frequency of Overdiagnosis

The article presents the results of a retrospective analysis of 198 emergency appendectomies performed on patients based solely on clinical and basic laboratory data without the use of imaging or endoscopic diagnostic methods (ultrasound, CT, laparoscopy). Based on the histological examination data, it was found that in 15.7% of cases, morphological signs of acute inflammation of the appendix were not detected. Analysis of the clinical picture and preoperative documentation allowed us to determine the main causes of diagnostic errors, including formal collection of anamnesis, insufficient interpretation of questionable symptoms and lack of dynamic observation. The data obtained confirm the need to implement a multi-stage diagnostic approach, especially in situations with an inconclusive clinical picture, with the mandatory use of repeated examinations, laboratory monitoring and available instrumental methods.