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WTP2.13 The search for alternative diagnosis in patients with normal appendix during diagnostic laparoscopy

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Patients can re-present with ongoing abdominal pain even with normal appendices—missed conditions need attention.
Of 140 patients undergoing surgery, 10 had normal appendices, with poor documentation on alternative diagnoses observed.
A diagnostic laparoscopy may uncover causes mimicking appendicitis, but thorough documentation is lacking among surgeons.
Only 20% of cases showed documented searches for conditions like Meckel’s diverticulum, advocating for improved surgical practices.

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This analysis reviews outcomes in patients with normal appendices, revealing gaps in documentation and implications for diagnosis.

Kok et al. (2025) studied this question.

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