Appendicitis
Abdomen, Acute
Abdominal Abscess
Rupture, Spontaneous
Laparoscopy
Hernia, Femoral
Radiography, Abdominal
Retrospective Studies
Tomography, X-Ray Computed
Abscess
Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates. (1/742)
OBJECTIVE To evaluate the impact of appendiceal computed tomography (CT) availability on negative appendectomy and appendiceal perforation rates. SUMMARY BACKGROUND DATA: Appendiceal CT is 98% accurate. However, its impact on negative appendectomy and appendiceal perforation rates has not been reported. METHODS: The authors reviewed the medical records of 493 consecutive patients who underwent appendectomy between 1992 and 1995, 209 consecutive patients who underwent appendectomy in 1997 (59% of whom had appendiceal CT), and 206 patients who underwent appendiceal CT in 1997 without subsequent appendectomy. RESULTS: Before appendiceal CT, 98/493 patients (20%) taken to surgery had a normal appendix. After CT availability, 15/209 patients (7%) taken to surgery had a normal appendix; 7 patients did not have CT, 5 patients had surgery despite a negative CT, and 3 patients had a false-positive CT. Negative appendectomy rates were lowered overall (20% to 7%), in men (11% to 5%), in women (35% to 11%), in boys (10% to 5%), and in girls (18% to 12%). Appendiceal perforation rates dropped from 22% to 14% after CT availability. CT excluded appendicitis in 206 patients in 1997 who avoided appendectomy and identified alternative diagnoses in 105 of these patients (51%). CONCLUSION: The availability of appendiceal CT coincided with a drop in the negative appendectomy rate from 20% to 7% in all patients, and to only 3% in patients with a positive CT. Perforation rates decreased from 22% to 14%. Appendiceal CT can be advocated in nearly all female and many male patients. (+info)Psoas abscesses complicating colonic disease: imaging and therapy. (2/742)
Most surgeons think of psoas abscesses as a very rare condition related to tuberculosis of the spine, but in contemporary surgical practice they are more usually a complication of gastrointestinal disease. A case note study was undertaken on all patients treated for psoas abscess at two large hospitals in the mid-Trent region over a 2-year period. All seven patients presented with pyrexia, psoas spasm, a tender mass and leucocytosis. The diagnosis was made on abdominal radiographs in one patient, CT scan in three, MRI in two, and ultrasound in one. Aetiological factors included Crohn's disease in three, appendicitis in two, and sigmoid diverticulitis and metastatic colorectal carcinoma in one each. Six patients underwent transabdominal resection of the diseased bowel, retroperitoneal debridement and external drainage of the abscess cavity. Percutaneous drainage was performed in one. Two patients had more than one surgical exploration for complications. There were no deaths and the hospital stay ranged from 8-152 days. Psoas abscess can be a difficult and protracted problem. Bowel resection, thorough debridement, external drainage and concomitant antibiotics are essential for psoas abscesses complicating gastrointestinal disease. Defunctioning stomas may be necessary. However, in some cases a multidisciplinary approach may be required, as psoas abscesses can involve bone and joints. (+info)Simultaneous rupturing heterotopic pregnancy and acute appendicitis in an in-vitro fertilization twin pregnancy. (3/742)
The presentation of acute abdominal pain in young women is not an unusual occurrence in casualty and gynaecology departments. Both acute appendicitis and ectopic pregnancy have to be considered and investigated, as these two conditions are accepted as the most common surgical causes of an acute abdomen. Difficulties in correctly identifying the cause of the pain can be hazardous to the patient and care needs to be taken in obtaining a prompt and accurate diagnosis enabling the most appropriate management. The case report presented here describes the extremely unusual occurrence of both these acute conditions happening simultaneously with the added complication of an ongoing twin pregnancy and it highlights the need to look beyond the most obvious diagnosis and always to expect the unexpected. (+info)Is perforation of the appendix a risk factor for tubal infertility and ectopic pregnancy? An appraisal of the evidence. (4/742)
OBJECTIVE: To critically assess the evidence that appendiceal perforation is a risk factor for subsequent tubal infertility or ectopic pregnancy. DATA SOURCES: Epidemiologic studies investigating the relationship between appendectomy and infertility or ectopic pregnancy were identified by searching the MEDLINE database from 1966 to 1997. Appropriate citations were also extracted from a manual search of the bibliographies of selected papers. STUDY SELECTION: Twenty-three articles were retrieved. Only 4 presented original data including comparisons to a nonexposed control group and they form the basis for this study. DATA EXTRACTION: Because the raw data or specific techniques of data analysis were not always explicitly described, indices of risk for exposure were extracted from the data as presented and were analysed without attempting to convert them to a common measure. DATA SYNTHESIS: Articles were assessed according to the criteria of the Evidence-Based Medicine Working Group for evaluating articles on harm. Review of the literature yielded estimates of the risk of adverse fertility outcomes ranging from 1.6 (95% confidence interval [CI] 1.1 to 2.5) for ectopic pregnancy after an appendectomy to 4.8 (95% CI 1.5 to 14.9) for tubal infertility from perforation of the appendix. Recall bias, and poor adjustment for confounding variables in some reports, weakened the validity of the studies. CONCLUSIONS: The methodologic weaknesses of the studies do not permit acceptance of increased risk of tubal pregnancy or infertility as a consequence of perforation of the appendix, so a causal relationship cannot be supported by the data currently available. Only a well-designed case-control study with unbiased ascertainment of exposure and adjustment for confounding variables will provide a definitive answer. (+info)Day-care laparoscopic appendectomies. (5/742)
OBJECTIVE: To demonstrate the safety of laparoscopic appendectomy in a day-care setting and to compare patients selected for laparoscopic versus open appendectomy. DESIGN: A retrospective, nonrandomized study. SETTING: A community hospital in a small town in British Columbia. PATIENTS: Ninety-four consecutive patients with a clinical diagnosis of acute appendicitis. INTERVENTIONS: Each patient underwent laparoscopic or open appendectomy as selected by the operating surgeon. OUTCOME MEASURES: Duration of operation and of hospital stay, morbidity and mortality. RESULTS: The average operating time was 32 minutes for open appendectomy and 36 minutes for laparoscopic appendectomy. Two (4%) of the 52 patients who had a laparoscopic appendectomy had significant complications; 1 of them required reoperation for intra-abdominal abscess. Thirty-nine (75%) of the laparoscopic appendectomies were done as day-care procedures. The average length of stay for the remaining patients was 2.1 days. The overall complication rate for patients who underwent open appendectomy was 20%. The average length of stay for these patients was 3.2 days; no patient was discharged within 24 hours. CONCLUSIONS: Laparoscopic appendectomy can be safely performed as a day-care procedure, even for selected patients with gangrenous or perforated appendices. Patients typically selected for open appendectomy include children and those with more advanced infection. (+info)Appendix abscess: a surgical giant presenting as a geriatric giant. (6/742)
CASE REPORT: A women aged 102 years presented with falls and was found to have an atypical presentation of appendicitis. CONCLUSION: This illustrates the non-specific presentation of disease in old age and the importance of a careful medical assessment of people who have fallen. (+info)A meta-analysis of laparoscopic versus open appendectomy in patients suspected of having acute appendicitis. (7/742)
OBJECTIVE: To determine if any significant differences exist between laparoscopic appendectomy (LA) and open appendectomy (OA). DESIGN: A meta-analysis of randomized controlled trials (RCTs) comparing LA to OA. DATA SOURCES: An extensive literature search was conducted for appropriate articles published between January 1990 and March 1997. Articles were initially retrieved through MEDLINE with MeSH terms "appendicitis" or "appendectomy" and "laparoscopy". Additional methods included cross-referencing bibliographics of retrieved articles, hand searching abstracts from relevant meetings and consultation with a content expert. STUDY SELECTION: Only RCTs published in English in which patients had a preoperative diagnosis of acute appendicitis were included. DATA EXTRACTION: The outcomes of interest included operating time, hospital stay, readmission rates, return to normal activity and complications. The Cochrane Collaboration Review Manager 3.0 was used to calculate odds ratios (OR), weighted mean differences (WMD) and 95% confidence intervals (CI). The random-effects model was used for statistical analysis. DATA SYNTHESIS: Twelve trials met the inclusion criteria. Because there were insufficient data in some trials, operating time, hospitalization and return to work were assessed in only 8 trials. Mean operating time was significantly longer with LA (WMD 18.10 minutes, 95% CI 12.87 to 23.15 minutes). There were fewer wound infections in LA (OR 0.40, 95% CI 0.24 to 0.69), but no significant differences in intra-abdominal abscess rates (OR 1.94, 95% CI 0.68 to 5.58). There was no significant difference in the mean length of hospital stay (WMD -0.16 days, 95% CI -0.44 to 0.15 days) or readmission rates (OR 1.16, 95% CI 0.54 to 2.48). However, the return to normal activity was significantly earlier with LA (WMD -5.79 days, 95% CI -7.38 to -4.21 days). Sensitivity analyses did not affect the results. CONCLUSION: This meta-analysis suggests that operating room time is significantly longer, hospital stay is unchanged but return to normal activities is significantly earlier with LA. (+info)Laparoscopy in the management of children with chronic recurrent abdominal pain. (8/742)
BACKGROUND AND OBJECTIVES: The purpose of the present study was to evaluate the results of diagnostic laparoscopy in children with chronic recurrent abdominal pain. PATIENTS AND METHODS: Thirteen children with chronic recurrent abdominal pain were subjected to diagnostic laparoscopy. Ages varied from 10 to 17 years. There were six males and seven females. Abdominal pain was present from 3 weeks to 12 months (mean, 2 months). Extensive laboratory and imaging studies did not contribute to the diagnosis. In all patients, the pain was disabling and severe enough to warrant repeated visits to the pediatrician, emergency room visits, or hospital admissions, as well as absence from school. RESULTS: All children recovered uneventfully. Laparoscopic findings that identified the cause of abdominal pain were obtained in 12 of 13 patients. Laparoscopic appendectomy was done in all patients. There were no operative complications. One child presented three months later with incomplete small bowel obstruction, which resolved with conservative management. There were no other postoperative complications. Follow-up varied from six months to three years. Abdominal pain resolved in ten patients. One patient presented eight months later with biliary dyskinesia. She improved following laparoscopic cholecystectomy and later on sphincterotomy, but her pain has not yet completely resolved. One patient presented six months later with abdominal pain secondary to intestinal adhesions. Her pain completely resolved after laparoscopic lysis of adhesions. A third patient who developed lower abdominal pain six months after laparoscopy improved with conservative management and antibiotics for pelvic inflammatory disease. CONCLUSIONS: Diagnostic laparoscopy is a valuable procedure in the management of children with chronic recurrent abdominal pain. In the present study, laparoscopic examination revealed the cause of abdominal pain in most patients, and this pain resolved in most cases. Based on our experience, we recommend diagnostic laparoscopy early in the course of debilitating chronic recurrent abdominal pain in children. Appendectomy should be done when no other significant cause of abdominal pain has been identified, even if the appendix looks normal. (+info)Appendicitis is a medical condition in which the appendix, a small, finger-like organ attached to the large intestine, becomes inflamed and infected. The appendix is located in the lower right side of the abdomen, and its main function is not fully understood. However, it is thought to play a role in the immune system and the development of certain types of white blood cells. The exact cause of appendicitis is not known, but it is believed to be related to a blockage of the appendix. This blockage can occur due to a variety of factors, including a build-up of bacteria, a foreign object, or a tumor. When the appendix becomes blocked, it can lead to a backup of digestive fluids and bacteria, which can cause the appendix to become inflamed and infected. Symptoms of appendicitis can include abdominal pain that starts in the lower right side of the abdomen and moves to the right side of the abdomen, nausea and vomiting, loss of appetite, fever, and tenderness in the abdomen. If left untreated, appendicitis can lead to serious complications, such as the rupture of the appendix, which can cause a life-threatening infection. Treatment for appendicitis typically involves surgery to remove the inflamed appendix, known as an appendectomy. In some cases, antibiotics may be used to treat the infection before or after surgery. It is important to seek medical attention if you suspect you may have appendicitis, as prompt treatment can help prevent serious complications.
In the medical field, "Abdomen, Acute" refers to a sudden and severe condition that affects the abdominal region of the body. It can be caused by a variety of factors, including infections, injuries, blockages, or other medical conditions. Symptoms of an acute abdomen may include severe abdominal pain, nausea and vomiting, fever, constipation or diarrhea, bloating, and loss of appetite. In some cases, an acute abdomen may also be accompanied by symptoms such as difficulty breathing, dizziness, or fainting. Diagnosis of an acute abdomen typically involves a physical examination, medical history review, and imaging tests such as ultrasound, CT scan, or MRI. Treatment depends on the underlying cause of the condition and may include medications, surgery, or other medical interventions. It is important to seek medical attention promptly if you experience symptoms of an acute abdomen, as delay in treatment can lead to serious complications.
Intestinal perforation is a medical condition in which there is a hole or tear in the wall of the intestine. This can occur due to various causes, such as trauma, infection, or underlying medical conditions such as inflammatory bowel disease or cancer. When the wall of the intestine perforates, the contents of the intestine can leak out into the surrounding tissue, causing an infection called peritonitis. This can be a life-threatening condition if not treated promptly. Symptoms of intestinal perforation may include severe abdominal pain, fever, nausea and vomiting, and a fast heart rate. Diagnosis is typically made through imaging studies such as X-rays or CT scans, and treatment may involve surgery to repair the perforation and remove any infected tissue.
An abdominal abscess is a collection of pus that forms in the abdominal cavity. It is a serious medical condition that requires prompt diagnosis and treatment. Abdominal abscesses can form as a result of various causes, including infections, trauma, and cancer. Symptoms of an abdominal abscess may include abdominal pain, fever, nausea, vomiting, and a general feeling of illness. Treatment typically involves the use of antibiotics to treat the underlying infection, as well as the surgical removal of the abscess.，，、。
Abdominal pain is a common symptom that refers to discomfort or pain in the abdominal region, which includes the stomach, intestines, liver, gallbladder, pancreas, and other organs in the abdomen. It can be acute or chronic, and can range from mild to severe. In the medical field, abdominal pain is often evaluated based on its location, duration, severity, and associated symptoms. The location of the pain can help identify which organ or organ system may be causing the discomfort. For example, pain in the upper right quadrant of the abdomen may indicate a problem with the liver or gallbladder, while pain in the lower left quadrant may indicate a problem with the colon or appendix. The duration and severity of the pain can also provide important clues about the underlying cause. For example, sudden, severe abdominal pain may indicate a medical emergency, such as a ruptured appendix or a perforated ulcer. Associated symptoms, such as nausea, vomiting, diarrhea, constipation, bloating, or fever, can also help doctors diagnose the cause of abdominal pain. In some cases, further diagnostic tests, such as blood tests, imaging studies, or endoscopy, may be necessary to determine the underlying cause of the pain.
Fecal impaction is a medical condition in which hardened stool becomes stuck in the rectum or colon, making it difficult or impossible to pass. This can occur when there is a lack of normal bowel movements, or when the stool is too hard or dry to pass through the rectum and colon. Fecal impaction can cause abdominal pain, bloating, constipation, and nausea, and may require medical treatment to resolve. It is more common in older adults, people with certain medical conditions, and those who are bedridden or have limited mobility.
In the medical field, an acute disease is a condition that develops suddenly and progresses rapidly over a short period of time. Acute diseases are typically characterized by severe symptoms and a high degree of morbidity and mortality. Examples of acute diseases include pneumonia, meningitis, sepsis, and heart attacks. These diseases require prompt medical attention and treatment to prevent complications and improve outcomes. In contrast, chronic diseases are long-term conditions that develop gradually over time and may persist for years or even decades.
Cecal diseases refer to medical conditions that affect the cecum, which is the first part of the large intestine. The cecum is a pouch-like structure located at the junction of the small intestine and the large intestine. Some common cecal diseases include: 1. Appendicitis: Inflammation of the appendix, which is a small tube-like structure that extends from the cecum. 2. Diverticulitis: Inflammation of small pouches (diverticula) that form in the wall of the large intestine, often near the cecum. 3. Inflammatory bowel disease (IBD): A group of chronic inflammatory conditions that affect the digestive tract, including the cecum. Examples of IBD include Crohn's disease and ulcerative colitis. 4. Polyps: Non-cancerous growths that can develop in the lining of the large intestine, including the cecum. 5. Cancer: Malignant tumors that can develop in the lining of the large intestine, including the cecum. 6. Cecal volvulus: A rare condition in which the cecum twists on itself, cutting off blood flow to the affected area. 7. Cecal pseudo-obstruction: A condition in which the muscles of the large intestine become weak or paralyzed, preventing the contents of the colon from passing through. Treatment for cecal diseases depends on the specific condition and may include medications, surgery, or other medical interventions.
In the medical field, "rupture, spontaneous" refers to the sudden and unexpected tearing or bursting of a structure or organ within the body. This can occur due to a variety of factors, including trauma, disease, or physical stress. For example, a spontaneous rupture of the spleen is a serious medical emergency that can occur when the spleen's blood vessels burst, causing internal bleeding. Similarly, a spontaneous rupture of the aorta, the body's largest artery, can be life-threatening and requires immediate medical attention. Spontaneous ruptures can also occur in other organs and structures, such as the uterus during childbirth, the lung, or the bowel. In these cases, prompt diagnosis and treatment are critical to prevent further complications and improve outcomes.
Gangrene is a medical condition in which a part of the body dies due to a lack of blood supply. This can occur due to a blockage of blood vessels, infection, or injury. Gangrene can affect any part of the body, but it is most commonly seen in the extremities, such as the toes, fingers, and legs. There are two types of gangrene: dry and wet. Dry gangrene occurs when the affected area is pale, cool, and hard to the touch. Wet gangrene, on the other hand, occurs when the affected area is red, warm, and painful. Wet gangrene is more serious and can progress quickly if left untreated. Treatment for gangrene depends on the cause and severity of the condition. In some cases, surgery may be necessary to remove the dead tissue and promote healing. Antibiotics may also be prescribed to treat any underlying infections. In severe cases, amputation of the affected limb may be necessary to prevent the spread of infection or to save the patient's life.
Appendiceal neoplasms refer to tumors or cancerous growths that develop in the appendix, a small tube-like organ located at the end of the large intestine. These neoplasms can be either benign (non-cancerous) or malignant (cancerous). Benign appendiceal neoplasms are relatively rare and include polyps, cysts, and fibromas. Malignant appendiceal neoplasms, on the other hand, are more common and include carcinomas, sarcomas, and lymphomas. Appendiceal neoplasms can cause a variety of symptoms, including abdominal pain, nausea, vomiting, and fever. Diagnosis typically involves imaging studies such as CT scans or MRIs, as well as a biopsy to confirm the presence of cancer. Treatment options depend on the type and stage of the neoplasm, and may include surgery, chemotherapy, radiation therapy, or a combination of these approaches.
Mesenteric lymphadenitis is a condition characterized by inflammation of the mesenteric lymph nodes, which are small, bean-shaped structures that filter lymph fluid from the digestive system. The mesenteric lymph nodes are located near the small intestine and are an important part of the body's immune system. Mesenteric lymphadenitis can be caused by a variety of factors, including bacterial or viral infections, parasitic infections, food allergies, and autoimmune disorders. Symptoms of mesenteric lymphadenitis may include abdominal pain, nausea, vomiting, diarrhea, fever, and fatigue. Diagnosis of mesenteric lymphadenitis typically involves a physical examination, blood tests, imaging studies such as ultrasound or CT scans, and possibly a biopsy of the affected lymph nodes. Treatment depends on the underlying cause of the inflammation and may include antibiotics, antiparasitic medications, antihistamines, or immunosuppressive drugs. In some cases, surgery may be necessary to remove infected or inflamed lymph nodes.
Diverticulitis is a medical condition that occurs when small pouches, called diverticula, that form in the lining of the large intestine become inflamed or infected. These pouches can become inflamed due to a variety of factors, including a high-fiber diet, lack of physical activity, and certain medical conditions. The most common symptoms of diverticulitis include abdominal pain, nausea, vomiting, constipation or diarrhea, and fever. In severe cases, the condition can lead to complications such as abscesses, perforations, and bleeding. Treatment for diverticulitis typically involves antibiotics to fight off the infection, as well as rest, fluids, and a low-fiber diet. In some cases, surgery may be necessary to remove the affected area of the colon. Diverticulitis is a common condition, particularly in older adults, and can be managed with proper treatment and lifestyle changes. However, if left untreated, it can lead to serious complications, so it is important to seek medical attention if you experience symptoms.
Hernia, Femoral is a medical condition in which a part of an organ or tissue, such as the intestines, protrudes through the femoral canal, which is a passage in the groin area. This can occur when the muscles and ligaments that hold the organs in place become weakened or damaged, allowing the organ or tissue to push through the canal. Symptoms of a femoral hernia may include a bulge or lump in the groin, pain or discomfort in the affected area, and difficulty with bowel movements. Treatment for a femoral hernia may involve surgery to repair the weakened muscles and ligaments and to push the protruding organ or tissue back into place.
In the medical field, a torsion abnormality refers to a condition in which a structure, such as a testicle or ovary, twists on its own axis. This can cause a blockage of blood flow to the affected organ, leading to pain, swelling, and potentially serious complications if left untreated. Torsion abnormalities are typically diagnosed through physical examination and imaging studies, and may require surgical intervention to correct. They can occur in both males and females, and are more common in children and young adults.
Cecal neoplasms refer to abnormal growths or tumors that develop in the cecum, which is the first part of the large intestine. These neoplasms can be either benign or malignant, and they may cause a variety of symptoms, including abdominal pain, changes in bowel habits, rectal bleeding, and weight loss. Cecal neoplasms can be further classified based on their type, including adenomas, carcinomas, and sarcomas. Adenomas are non-cancerous growths that can develop into carcinomas if left untreated. Carcinomas are cancerous tumors that can spread to other parts of the body if not treated. Sarcomas are rare tumors that develop from connective tissue in the cecum. Diagnosis of cecal neoplasms typically involves a combination of medical history, physical examination, imaging studies such as colonoscopy or CT scan, and biopsy. Treatment options depend on the type, size, and location of the neoplasm, as well as the patient's overall health. They may include surgery, chemotherapy, radiation therapy, or a combination of these approaches.
An abscess is a localized collection of pus that forms in the body as a result of an infection. It is typically caused by bacteria or other microorganisms that enter the body through a wound or other opening, such as a tooth cavity or a surgical incision. The body's immune system responds to the infection by sending white blood cells to the area, which can lead to the formation of an abscess. Abscesses can occur in many different parts of the body, including the skin, muscles, joints, and organs. They can be painful and may cause redness, swelling, and warmth in the affected area. If left untreated, abscesses can become infected and spread to other parts of the body, potentially causing serious complications. Treatment for abscesses typically involves draining the pus and removing any infected tissue. This may be done through a surgical incision or by using a needle to drain the abscess. Antibiotics may also be prescribed to help fight the infection. In some cases, the abscess may recur if the underlying cause of the infection is not treated.
Lithiasis is a medical term that refers to the presence of one or more stones (also known as calculi) in the urinary tract. These stones can form in the kidneys, ureters, bladder, or urethra and can cause a range of symptoms, including pain, blood in the urine, frequent urination, and difficulty urinating. The most common type of lithiasis is kidney stone disease, which affects millions of people worldwide. Kidney stones are typically composed of minerals such as calcium, oxalate, or phosphate, and can vary in size from a grain of sand to a golf ball. Treatment for lithiasis depends on the size and location of the stone, as well as the severity of symptoms. Small stones may pass through the urinary tract on their own, while larger stones may require medical intervention such as shock wave lithotripsy, surgery, or medication to dissolve the stone. Prevention of lithiasis involves maintaining a healthy diet and staying hydrated, as well as managing underlying medical conditions such as high blood pressure or diabetes.
Appendicitis
Appendicitis Inflammatory Response score
Erythema annulare centrifugum
John Abner Snell
Roshanara
Abdominopelvic cavity
Massouh's sign
M. G. Kini
Claudius Amyand (surgeon)
Robert Kenneth Wilson
Meckel's diverticulum
Louis Christian Klein
Round ligament pain
Abraham Groves
January 1909
1908 Boston Red Sox season
Kenneth Mathiason Skeaping
George Ryerson Fowler
Alf Goullet
Lockwood's sign
July effect
Zenryō Shimabukuro
John G. Shedd
August Bier
Gumman Strömberg
Giorgio Polacco
Rovsing's sign
Friedrich Ebert
Mary Skeaping
The great imitator
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- Appendicitis results from an acute inflammation of the appendix and creates the most common abdominal surgical emergency. (medscape.com)
- Acute appendicitis is a common gastrointestinal disease affecting 5.7-57 per 100.000 individuals each year, with the highest incidence being in children and adolescents. (medscape.com)
- Circumferential colors are observed in the wall of the inflamed appendix (arrows), a strong indicator of acute appendicitis. (medscape.com)
- A diagnosis of acute appendicitis is usually made on the basis of a patient's clinical history in conjunction with physical examination and laboratory studies. (medscape.com)
- Controversy exists as to whether imaging is required in patients with the classic history and physical findings of acute appendicitis. (medscape.com)
- According to the American College of Radiology (ACR), computed tomography is the most accurate imaging study for evaluating suspected acute appendicitis and alternative etiologies of right lower quadrant pain. (medscape.com)
- In children, ultrasound is the preferred initial examination, because it is nearly as accurate as CT for the diagnosis of acute appendicitis in this population without use of ionizing radiation. (medscape.com)
- The Prospective Observational Study on Acute Appendicitis Worldwide (POSAW) of 4282 patients in 116 worldwide surgical departments from 44 countries reported imaging played a cardinal role in the diagnosis of acute appendicitis. (medscape.com)
- US and CT scanning have gained acceptance as the primary imaging techniques for acute appendicitis by virtue of their ability to directly image the appendix, adjacent fat, and gut. (medscape.com)
- Graded-compression US of the right lower quadrant (RLQ) has been shown to be a useful examination because of this technique's safety and high accuracy (approximately 90%) in the diagnosis of acute appendicitis. (medscape.com)
- Giving antibiotics to patients with acute uncomplicated appendicitis is a safe and viable alternative to surgery, say experts in a study published on bmj.com . (nottingham.ac.uk)
- Surgery to remove an inflamed appendix - appendicectomy - has been the mainstay of treatment for acute appendicitis since 1889 and the general assumption is that, without surgery, the risk of complications, such as perforation or infection, is high. (nottingham.ac.uk)
- So a team of researchers at the Nottingham Digestive Diseases Centre NIHR Biomedical Research Unit set out to compare the safety and efficacy of antibiotic therapy as an initial treatment for uncomplicated acute appendicitis. (nottingham.ac.uk)
- They analysed the results of four randomised controlled trials involving 900 adult patients diagnosed with uncomplicated acute appendicitis. (nottingham.ac.uk)
- The authors argue that the role of antibiotics in acute uncomplicated appendicitis "has been overlooked based mainly on tradition rather than evidence" and they suggest that a careful 'wait, watch and treat' policy may be adopted in patients considered to have uncomplicated appendicitis or in whom the diagnosis is uncertain. (nottingham.ac.uk)
- The authors conclude that antibiotic therapy "is a safe initial therapy for patients with uncomplicated acute appendicitis" and that it "merits consideration as a primary treatment option for early uncomplicated appendicitis. (nottingham.ac.uk)
- ABSTRACT The aim of this study was to evaluate the sensitivity and specificity of ultrasound in the diagnosis of acute appendicitis at Al-Shefa hospital, Gaza Strip, Palestine. (who.int)
- Although the standard treatment of acute appendicitis (AA) consists of an early appendectomy, there has recently been both an interest and an increase in the use of antibiotic therapy as the primary treatment for uncomplicated AA. (medscape.com)
- Peri-appendiceal fat stranding in the setting of acute appendicitis. (wikem.org)
- Fecalith (arrow) and stranding in the setting of acute appendicitis. (wikem.org)
- ref>Khan MN, Davie E, Irshad K. The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis. (wikem.org)
- ref>Baird DLH, Simillis C, Kontovounisios C, Rasheed S, Tekkis PP. Acute appendicitis. (wikem.org)
- According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), appendicitis is the most common cause of acute abdominal pain requiring surgery in the United States. (nacmedicalpartners.com)
- Acute appendicitis 1 occurs when this organ suddenly becomes inflamed and/or infected. (rxsaver.com)
- There are two forms of appendicitis: acute and chronic. (rxsaver.com)
- While chronic appendicitis lasts for weeks (or even months), acute appendicitis is inflammation or infection of the appendix that comes on suddenly. (rxsaver.com)
- Most patients with acute appendicitis go from feeling normal to seeking emergency medical treatment within 12-48 hours. (rxsaver.com)
- If left untreated, acute appendicitis can lead to a burst appendix. (rxsaver.com)
- When treated, however, most people with acute appendicitis don't experience any complications from the disease. (rxsaver.com)
- For many years, the number of acute appendicitis cases remained relatively stable. (rxsaver.com)
- Regardless, appendicitis (both acute and chronic) is a very common condition. (rxsaver.com)
- Appendicitis is also the most common 5 surgical emergency pertaining to the abdomen and the most common cause of acute abdominal pain. (rxsaver.com)
- It may also be impossible to find the cause of acute appendicitis if the underlying cause is no longer present by the time the patient seeks medical treatment. (rxsaver.com)
- If left untreated, acute appendicitis can cause the appendix to burst, allowing stool, mucus, blood, and other substances to spread throughout the abdomen. (rxsaver.com)
- However, most people with acute appendicitis experience so much pain that they seek treatment before this can occur. (rxsaver.com)
- There are few known risk factors 7 for acute appendicitis. (rxsaver.com)
- While researchers are not sure why, acute appendicitis has been shown to run in families. (rxsaver.com)
- Having cystic fibrosis, a progressive, genetic disease that affects the lungs and digestive system, can increase the risk of developing acute appendicitis, especially in children. (rxsaver.com)
- Acute appendicitis is one of the most common reasons for acute abdominal pain and abdominal infections are the second most common source of sepsis. (utupub.fi)
- However, the prevalence of bacteraemia in acute appendicitis is largely unknown. (utupub.fi)
- The aim of this study is to assess both prevalence and predictive factors of bacteraemia in acute appendicitis. (utupub.fi)
- In this prospective propensity-score matched cohort study, patients were recruited as part of a prospective observational study assessing appendicitis microbiology in concurrence with two randomized controlled trials on optimization of non-operative treatment for CT-confirmed uncomplicated acute appendicitis. (utupub.fi)
- Can antibiotics be used as first line therapy for uncomplicated acute appendicitis? (beem.ca)
- Which clinical findings can best rule in/out acute appendicitis in children? (beem.ca)
- Depending on the severity of the condition, appendicitis can be both chronic and acute . (erectiledoctor.com)
- Pregnant women are very rarely prone to acute appendicitis. (erectiledoctor.com)
- According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) , appendicitis is the most common cause of acute abdominal pain leading to surgery in the US, with 5 to 9 out of every 100 people at risk of developing it at some point. (fox-ae.com)
- Appendicitis in a patient can either be acute or chronic. (fox-ae.com)
- Acute appendicitis is the most common type of appendicitis. (fox-ae.com)
- The initial diagnosis was acute appendicitis , which was confirmed by the ultrasonographic findings. (bvsalud.org)
- In this cross-sectional prospective study patients who underwent appendectomy for acute appendicitis were included. (journalrmc.com)
- The diagnosis of acute appendicitis was established by history, examination and investigations in term of leukocyte count, urinalysis and ultrasound exam in many of these cases. (journalrmc.com)
- A significant seasonal effect was observed, with the rate of acute appendicitis being higher in the summer months. (journalrmc.com)
- There are complications such as hemorrhage, perforation or intestinal obstruction that sometimes simulate acute appendicitis. (bvsalud.org)
- To determine the frequency of this disease, in patients with pre-operative diagnosis of acute appendicitis, as well mortality and morbidity. (bvsalud.org)
- revised 1552 chips, of patients with a pre-operative diagnosis of acute appendicitis, of which analyzed is 14 cases of Meckel s Diverticulum, which were the surgical finding, from March 2000 to February 2015. (bvsalud.org)
Cases of appendicitis4
- In the United States, 250,000 cases of appendicitis are reported annually, representing 1 million patient-days of admission. (medscape.com)
- the average hospital has at least a few hundred cases of appendicitis per year - and these are usually taken straight to surgery if it's severe enough for the appendix to have burst, or treated with antibiotics until the inflammation or potential infection in the appendix has subsided. (besthealth.guide)
- Some mild cases of appendicitis may be treated with antibiotics. (nacmedicalpartners.com)
- Most cases of appendicitis are treated with a surgical procedure referred to as an appendectomy. (fox-ae.com)
Symptoms24
- Not everyone with appendicitis has all these symptoms. (medlineplus.gov)
- Of 68 patients treated with antibiotics who were readmitted with recurrence of symptoms, four had normal appendix and 13 had complicated appendicitis. (nottingham.ac.uk)
- Symptoms Of Appendix And Diet After Appendix Surgery My mom got appendicitis removed. (diethealthclub.com)
- What are the symptoms of appendicitis? (msdmanuals.com)
- Doctors sometimes diagnose appendicitis based on your symptoms and physical examination. (msdmanuals.com)
- Children with misdiagnosed appendicitis are more likely than their counterparts to have vomiting before pain onset, diarrhea, constipation, dysuria, signs and symptoms of upper respiratory infection, and lethargy or irritability. (medscape.com)
- Furthermore, because the pathophysiology of appendicitis is a progressive process, a patient's symptoms typically worsen over the course of the illness until perforation of the appendix occurs. (canadiem.org)
- It's common for appendicitis patients to experience a high-grade fever for more than a few hours and to experience other common symptoms like a stabbing or burning pain on the side of the abdomen that is likely to be worse with the body in certain positions. (besthealth.guide)
- With this type of appendicitis, the symptoms are usually more severe and they develop all of a sudden. (nacmedicalpartners.com)
- Doctors usually ask specific questions about the patient's medical history and symptoms when diagnosing appendicitis. (nacmedicalpartners.com)
- All this, plus the fact that most of the symptoms of appendicitis are characteristic for other problems with the gastrointestinal tract leads to the fact that to determine appendicitis at an early stage in a child can be very difficult, especially at home. (kakprosto.ru)
- People who have appendicitis are likely to suffer from the following symptoms. (erectiledoctor.com)
- The first symptoms of appendicitis is a slight pain around the belly button. (erectiledoctor.com)
- Your doctor may prescribe medication to help control your appendicitis symptoms . (pristineword.com)
- Symptoms of appendicitis include dull pain in the upper abdomen or near the navel which becomes sharper as it moves to the lower abdomen. (healthy-living-styles.com)
- The blockage can lead to inflammation and infection , which can cause the symptoms of appendicitis. (healthcarentsickcare.com)
- The symptoms of appendicitis can vary from person to person, but typically include abdominal pain, nausea, vomiting, and a fever. (healthcarentsickcare.com)
- Other symptoms of appendicitis may include loss of appetite, diarrhoea, constipation, and difficulty passing gas. (healthcarentsickcare.com)
- It is important to seek medical attention right away if you experience any of these symptoms, as appendicitis can quickly become a medical emergency. (healthcarentsickcare.com)
- Appendicitis in children has a variety of symptoms, most notably abdominal pain, which need to be addressed quickly to avoid further infection. (md-health.com)
- Appendicitis, or the inflammation of the appendix, is a condition that will require medical attention as quickly as possible so it's important to be able to recognize its symptoms. (md-health.com)
- In the case that appendicitis goes untreated, the organ can burst within 24 to 72 hours of the symptoms taking hold. (md-health.com)
- Improvements in diagnostic tests are allowing doctors to pick up on appendicitis symptoms before they become severe enough to merit surgery. (md-health.com)
- Many symptoms of appendicitis are very similar to those exhibited by other conditions such as pneumonia, urinary tract infections or kidney stones, so it can be difficult to officially diagnose appendicitis at first. (md-health.com)
Antibiotics4
- From a patient's perspective, are antibiotics "just as good as" surgery for appendicitis? (beem.ca)
- Your doctor may treat your appendicitis with antibiotics. (pristineword.com)
- However, when the appendicitis is still mild, it can be treated with antibiotics alone. (fox-ae.com)
- There is no prevention for appendicitis, but in many cases the condition can be treated with antibiotics if it is caught early. (md-health.com)
Treat appendicitis4
- How do doctors treat appendicitis? (msdmanuals.com)
- Follow the same convention with the expressions " treat appendicitis ", " cause appendicitis ", " prevent appendicitis ", " diagnose appendicitis ", etc. (pristineword.com)
- Appendectomy is the surgery used to treat appendicitis . (pristineword.com)
- In some cases, non-surgical approaches may be used to treat appendicitis. (healthcarentsickcare.com)
Abdomen4
- Appendicitis is considered to be one of the most common reasons for pain around the lower abdomen. (erectiledoctor.com)
- If you find your child to be complaining about pain in the right abdomen, it is time that you get your child tested for appendicitis. (erectiledoctor.com)
- If left untreated, appendicitis can lead to serious complications such as a ruptured appendix or peritonitis (inflammation of the lining of the abdomen). (healthcarentsickcare.com)
- In order to officially determine if a child is suffering from appendicitis, a doctor will perform an examination of the abdomen to check where the tenderness and pain are coming from. (md-health.com)
Appendectomy3
- Does antibiotic therapy for non-perforated appendicitis result in more complications compared with appendectomy? (beem.ca)
- The most common treatment for appendicitis is surgery to remove the appendix, called an appendectomy. (healthcarentsickcare.com)
- Once it has been determined that your child is suffering from appendicitis, the doctor will order an appendectomy to remove the inflamed appendix. (md-health.com)
Surgical4
- Appendicitis, an inflammation of the inner lining of the vermiform appendix that spreads to its other parts, is one of the more common surgical emergencies and remains one of the most common causes of abdominal pain. (medscape.com)
- Patients who had appendicitis diagnosed by ultrasound over the study period (n = 180) underwent surgical excision of the appendix. (who.int)
- In the antibiotic treatment arm successful treatment is defined as being discharged from the hospital without the need for surgical intervention and no recurrent appendicitis during a minimum follow-up of one-year (treatment efficacy). (medscape.com)
- 3 = Appendicitis unlikely *≥7 = Surgical consultation *4-6 = Consider CT '''MANTRELS''' Mnemonic: '''M'''igration to the right iliac fossa, '''A'''norexia, '''N'''ausea/Vomiting, '''T'''enderness in the right iliac fossa, '''R'''ebound pain, '''E'''levated temperature (fever), '''L'''eukocytosis, and '''S'''hift of leukocytes to the left (factors listed in the same order as presented above). (wikem.org)
Case of appendicitis2
- In most cases, medical professionals don't know for sure why a case of appendicitis has developed. (rxsaver.com)
- It is a sudden case of appendicitis that requires quick diagnosis and treatment. (fox-ae.com)
Presentation of appendicitis1
- Describe how the presentation of appendicitis is different in peds, pregnant women, and elderly. (canadiem.org)
Ultrasound2
- If the doctor notices that you are prone to appendicitis, they will carry out an abdominal ultrasound. (erectiledoctor.com)
- Diagnosing appendicitis typically involves a physical exam, blood tests, and imaging tests such as an ultrasound or CT scan. (healthcarentsickcare.com)
Cause appendicitis1
- Information And Treatment For Appendicitis Is it true that eating tomato seeds may cause appendicitis? (diethealthclub.com)
Prevent appendicitis2
- There's no proven way to prevent appendicitis . (pristineword.com)
- While it is not always possible to prevent appendicitis, there are some steps individuals can take to reduce their risk. (healthcarentsickcare.com)
Surgery4
- However, recent studies have reported fewer problems with antibiotic therapy than surgery in patients with uncomplicated appendicitis, but results have been inconclusive. (nottingham.ac.uk)
- But usually, if you have appendicitis, your doctor may recommend the immediate removal of your appendix through a surgery to reduce the risk of rupture. (nacmedicalpartners.com)
- Surgery is considered to be one of the easiest ways to get rid of appendicitis in pregnant women. (erectiledoctor.com)
- Trained in war surgery, Dr Diawara sometimes treats gunshot wounds and operates on appendicitis and peritonitis. (who.int)
Appendiceal5
- Appendicitis is caused by nonspecific obstruction of the appendiceal lumen. (medscape.com)
- Other problems that should be considered in a patient with suspected appendicitis include appendiceal stump appendicitis, typhlitis, epiploic appendagitis, psoas abscess, and yersiniosis. (medscape.com)
- In distinguishing appendiceal pain from that of PID, anorexia and onset of pain more than 14 days after menses suggests appendicitis. (medscape.com)
- 4) McBurney's point tenderness has a low correlation with appendiceal location and is not highly sensitive for appendicitis, tenderness at this location does have a modest predictive value for appendicitis. (canadiem.org)
- Recurrent appendicitis caused by a retained appendiceal tip: A case report. (wikem.org)
Patient's3
- Fortunately, it's usually not critical to identify the underlying cause of a patient's appendicitis, as the condition is usually treated with the same methods regardless of its cause. (rxsaver.com)
- In many cases, the cause of a patient's appendicitis is unclear. (rxsaver.com)
- Appendicitis is a condition that happens when a patient's appendix is inflamed. (fox-ae.com)
Diagnose2
- No one element of the history or physical examination can reliably be used to diagnose or exclude appendicitis. (canadiem.org)
- If appendicitis to diagnose and treat fails after some time, the Appendix can burst, after which all its contents fall in the abdominal cavity, causing a strong inflammation. (kakprosto.ru)
Patients7
- Opinion varies as to whether these modalities should be performed in all patients with suggested appendicitis or if radiology should be reserved for select patients with atypical or confusing clinical presentations. (medscape.com)
- Multidetector computed tomography scanning and graded-compression Doppler ultrasonography are powerful imaging methods that substantially improve diagnostic accuracy in patients with clinically equivocal appendicitis. (medscape.com)
- There were no significant differences in either length of hospital stay or risk of developing complicated appendicitis between the two groups of patients. (nottingham.ac.uk)
- Appendicitis in patients older than 60 years accounts for 10% of all appendectomies. (medscape.com)
- All patients evaluated for enrollment with both a confirmed diagnosis of appendicitis and available blood culture on admission were included in this study. (utupub.fi)
- Out of the 987 patients with appendicitis, 271 patients had available blood culture and the prevalence of bacteraemia was 12% (n=33). (utupub.fi)
- In fact, some patients with appendicitis couldn't wait to have it removed as its presence caused them unbearable abdominal pain. (fox-ae.com)
Chronic1
- Chronic appendicitis, on the other hand, isn't common. (fox-ae.com)
Infection3
- Appendicitis in Children Appendicitis is inflammation and infection of the appendix. (msdmanuals.com)
- Any direct impact or trauma to the appendix can be enough to trigger a severe infection to the appendix - and it can cause the appendix to inflame or burst if there is an existing infection present or if the person is already in the first stages of appendicitis when the impact is sustained. (besthealth.guide)
- Appendicitis is the medical term for an infection or inflammation in your appendix. (nacmedicalpartners.com)
Findings1
- 3) List 5 PEX findings in appendicitis. (canadiem.org)
Occurs3
- Okay, so appendicitis usually occurs because something gets stuck and obstructs the appendix . (osmosis.org)
- That said, medical professionals have identified that appendicitis occurs as a result of blockages in the appendix. (rxsaver.com)
- Appendicitis occurs when the appendix becomes inflamed and infected. (healthcarentsickcare.com)
Vermiform appendix1
- Appendicitis is defined as inflammation of the vermiform appendix. (medscape.com)
Severity1
- Serum Lactate **Does not necessarily define level of severity (if appendicitis is present. (wikem.org)
Fast Five Quiz1
- Fast Five Quiz: How Much Do You Know About Appendicitis? (medscape.com)
Intestinal obstruction1
- Vomiting that precedes pain is suggestive of intestinal obstruction, and the diagnosis of appendicitis should be reconsidered. (medscape.com)
Fever2
- Appendicitis Treatment DietDiet for AppendicitisThe patient should be put to bed immediately at the first signs of severe pain, vomiting and fever. (diethealthclub.com)
- Appendicitis in children typically begins with pain around the bellybutton area and a mild fever. (md-health.com)
Gastrointestinal1
- Conclusion: A seasonal pattern of appendicitis with a mostly predominant peak is seen during the summer months could be due to increased gastrointestinal infections in summer. (journalrmc.com)
Treatment3
- Are you familiar with best practices for diagnosis and treatment of appendicitis? (medscape.com)
- This chapter covers some recent updates on the function of the appendix, diagnosis of appendicitis including the Alvarado score, as well as treatment of this relatively common condition. (canadiem.org)
- Appendicitis is serious and requires immediate medical attention and treatment. (besthealth.guide)
Differential diagnosis1
- The differential diagnosis of appendicitis is often a clinical challenge because appendicitis can mimic several abdominal conditions (see Differentials). (medscape.com)
Clinical1
- If appendicitis occurred in a child the clinical picture can be very blurry, in addition, diagnosis is difficult that children can't always tell what and where they hurt. (kakprosto.ru)
Fecalith1
- Appendicitis seems to develop when the appendix becomes blocked either by hard fecal material (called a fecalith) or swollen lymph. (msdmanuals.com)
Apendicitis3
- Frecuencia de diverticulo de Meckel en el diagnostico preoperatorio de la apendicitis agud. (bvsalud.org)
- Presentan complicaciones como hemorragia, perforación u obstrucción intestinal que en ocasiones simulan una apendicitis aguda. (bvsalud.org)
- Determinar la frecuencia de esta enfermedad, en pacientes con diagnóstico pre-operatorio de apendicitis aguda, así como el tratamiento y morbimortalidad. (bvsalud.org)
Misdiagnosis1
- Appendicitis is misdiagnosed in 25-30% of children, and the rate of initial misdiagnosis is inversely related to the age of the patient. (medscape.com)
Medical emergencies1
- If not taken care of properly, appendicitis can be one of the most significant medical emergencies. (erectiledoctor.com)
Teenagers1
- Teenagers usually develop appendicitis pain around their novels. (erectiledoctor.com)
Occur2
- Appendicitis may occur at any age, but is more likely to develop in teens and adults in their twenties. (nacmedicalpartners.com)
- The exact cause of appendicitis is not always clear, but it may occur when the appendix becomes blocked by fecal matter, a foreign object, or even cancer. (healthcarentsickcare.com)
Constipation1
- Most of the time, constipation is also a sign of appendicitis. (erectiledoctor.com)
Common4
- Anyone can get appendicitis, but it is more common among people 10 to 30 years old. (medlineplus.gov)
- Appendicitis inflammation is common in adolescents. (medicinenet.com)
- Because of this, it was common for surgeons performing unrelated abdominal surgeries to also remove the appendix-even if it was completely healthy-to prevent the possibility of future appendicitis. (rxsaver.com)
- How common is appendicitis? (rxsaver.com)
Appendix becomes1
- Appendicitis is an infectious condition that takes place when the appendix becomes infected and inflamed. (diethealthclub.com)
Pain4
- We suggest you take a look at the figure in Rosen's to help explain why "Mcburney's point" is not where pain from appendicitis is always found! (canadiem.org)
- He describes the pain as sharp and states that it was especially bad en route to the hospital when the ambulance drove over bumps in the road. (osmosis.org)
- When you release the pain becomes much stronger than during the depression, is typical of appendicitis. (kakprosto.ru)
- The pain of appendicitis is its most famous feature. (fox-ae.com)
