• Ali Cihat Yildirim, Huseyin Emre Arslan, Sezgin Zeren, Mehmet Fatih Ekici, Mustafa Cem Algin, and Ozlem Arik.
• Department of General Surgery, Kutahya Health Sciences University, Kutahya, Turkey.
• J Coll Physicians Surg Pak. 2023 Nov 1; 33 (11): 123512391235-1239.

ObjectiveTo investigate the relationship between preoperative pain scores and the mesoappendix volume and the presence of complications in patients with acute appendicitis.Study DesignCross-sectional observational study. Place and Duration of the Study: Department of General Surgery at Kutahya Health Sciences University, Kutahya, Turkey, from January to December 2021.MethodologyPain degrees in patients with acute appendicitis were measured by Numerical Rating Scale (NRS) and Wong-Baker Scale (WBS). Mesoappendix volume was calculated using the formula: mesoappendix length x width x height. Appendicitis type (as complicated or uncomplicated) was grouped.ResultsThere was a positive and statistically significant correlation (17%) between the NRS and mesoappendix volume (p=0.065). In addition, there was a positive and statistically significant correlation (17%) between the WBS and mesoappendix volume (p=0.057). Additionally, there was a statistically significant relationship between the NRS, WBS, and complicated appendicitis (p=0.022, p=0.022, respectively).ConclusionThe mesoappendix volume might contribute to preoperative pain process in acute appendicitis patients. Specifically, there is a statistically significant correlation between complicated appendicitis and preoperative pain scores.Key WordsAppendicitis, Pain, Mesentery, Complicated appendicitis.

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