23,586 results match your criteria Appendicitis


Risk Factors and Outcomes for Sepsis after Appendectomy in Adults.

Surg Infect (Larchmt) 2019 Apr 20. Epub 2019 Apr 20.

Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

Sepsis is an uncommon occurrence after appendectomy, but the morbidity and mortality of patients who develop sepsis after appendectomy remains exceedingly high. The purpose of this study is to identify risk factors and adverse post-operative outcomes associated with sepsis after appendectomy in adults. The American College of Surgery National Surgical Quality Improvement Program participant user database was queried from 2012 to 2015. Read More

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https://www.liebertpub.com/doi/10.1089/sur.2019.003
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http://dx.doi.org/10.1089/sur.2019.003DOI Listing
April 2019
2 Reads

Diagnosis of pain in the right iliac fossa. A new diagnostic score based on Decision-Tree and Artificial Neural Network Methods.

Cir Esp 2019 Apr 17. Epub 2019 Apr 17.

Departamento de Cirugía, Hospital Universitario Arnau de Vilanova, Universidad de Lérida, Lérida, España.

Introduction: Pain in the right iliac fossa (RIF) continues to pose diagnostic challenges. The objective of this study is the development of a RIF pain diagnosis model based on classification trees of type CHAID (Chi-Square Automatic Interaction Detection) and on an artificial neural network (ANN).

Methods: Prospective study of 252 patients who visited the hospital due to RIF pain. Read More

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http://dx.doi.org/10.1016/j.ciresp.2019.02.006DOI Listing

Antibiotic therapy for acute uncomplicated appendicitis: a systematic review and meta-analysis.

Int J Colorectal Dis 2019 Apr 19. Epub 2019 Apr 19.

Department of Visceral, Vascular and Endocrine Surgery, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.

Purpose: Appendectomy has been the gold standard for every form of appendicitis. In recent years, though, it has repeatedly been claimed that for acute uncomplicated appendicitis, antibiotic therapy can be an equivalent treatment. The aim of this meta-analysis was to determine if antibiotic therapy is a safe and effective alternative to appendectomy for acute uncomplicated appendicitis. Read More

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http://link.springer.com/10.1007/s00384-019-03296-0
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http://dx.doi.org/10.1007/s00384-019-03296-0DOI Listing
April 2019
1 Read

Abdominal Lymphoma Presenting as Terminal Ileitis: A Case Report.

J Emerg Med 2019 Apr 16. Epub 2019 Apr 16.

Department of Emergency Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Background: Most pediatric patients with lymphoma do not have classic symptoms of fever, night sweats, and weight loss. Lymphoma can present as vague symptoms and may mimic common pediatric abdominal emergencies. In this case report, we present a child who presented with abdominal pain and who was initially misdiagnosed as having a surgical emergency. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679193013
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http://dx.doi.org/10.1016/j.jemermed.2019.03.004DOI Listing
April 2019
2 Reads

Submucosal mucoid as a late complication after appendectomy-A case report.

Int J Surg Case Rep 2019 Apr 5;58:37-40. Epub 2019 Apr 5.

Radiological Department, Klatovy Hospital, Plzeňská 929, 339 01, Klatovy II, Czech Republic.

Introduction: Shortly after an operation infection, intraabdominal abscess, seroma, haemorrhage or development of paralytic ileus may occur. Postoperative adhesions, nonspecific abdominal pain without signs of obstruction, incisional hernia and appendicitis or mucocele in appendiceal stump present common late complications. We present a unique case of a late complication after appendectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612193017
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http://dx.doi.org/10.1016/j.ijscr.2019.03.051DOI Listing
April 2019
1 Read

Appendiceal mucocele-A rare case report.

Int J Surg Case Rep 2019 Apr 9;58:21-25. Epub 2019 Apr 9.

Deprtment of General Surgery, JSS Medical College and Hospital, Mysore, India. Electronic address:

Introduction: Appendiceal mucocele is a rare disease and has a clinical picture that resembles acute appendicitis. A correct diagnosis before surgery is very important for the selection of surgical technique(appendicectomy/colectomy)to avoid severe intraoperative and postoperative complications. The work has been reported in line with the SCARE criteria (Agha et al. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.04.008DOI Listing

Appendiceal adenocarcinoma-Two unique cases of adenocarcinoma ex-goblet cell carcinoid.

Clin Case Rep 2019 Apr 14;7(4):806-808. Epub 2019 Mar 14.

Department of Surgery Wexford General Hospital Wexford Ireland.

We describe the different clinical presentations, radiology, histology and management of this unique, highly aggressive disease. Clinical presentation of appendicitis may not just be appendicitis. Appendiceal tumors must always be considered in the differential diagnosis. Read More

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http://dx.doi.org/10.1002/ccr3.2078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452524PMC

Cecum and appendix perforation due to inadvertent ingestion of two toothpicks.

J Surg Case Rep 2019 Apr 10;2019(4):rjz106. Epub 2019 Apr 10.

PGY4 Resident General Surgery at PUCE, Quito-Ecuador.

Bowel perforation due to inadvertent ingestion of foreign objects is, fortunately, a rare event. However, it can lead to deadly complications when it occurs. Thin, sharp and pointed objects like toothpicks are more likely to pierce the bowel wall. Read More

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http://dx.doi.org/10.1093/jscr/rjz106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457067PMC
April 2019
1 Read

Development of a Clinical Decision Support System for Pediatric Abdominal Pain in Emergency Department Settings Across Two Health Systems Within the HCSRN.

EGEMS (Wash DC) 2019 Apr 12;7(1):15. Epub 2019 Apr 12.

Children's MN, Department of Pediatric Emergency Medicine, Minneapolis, Minnesota, US.

Background: Appendicitis is a common surgical emergency in children, yet diagnosis can be challenging. An electronic health record (EHR) based, clinical decision support (CDS) system called Appy CDS was designed to help guide management of pediatric patients with acute abdominal pain within the Health Care Systems Research Network (HCSRN).

Objectives: To describe the development and implementation of a clinical decision support tool (Appy CDS) built independently but synergistically at two large HCSRN affiliated health systems using well-established platforms, and to assess the tool's Triage component, aiming to identify pediatric patients at increased risk for appendicitis. Read More

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http://dx.doi.org/10.5334/egems.282DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460497PMC

Portal pyaemia secondary to colonic perforation.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Hepatopancreaticobiliary Surgery, Cambridge University Hospital, Cambridge, Cambridgeshire, UK.

Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22840
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http://dx.doi.org/10.1136/bcr-2018-228400DOI Listing
April 2019
2 Reads

Population-based cohort study of the correlation between provision of care and the risk for complications after appendectomy in children.

J Pediatr Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Pediatric Surgery, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden; Departments of Women's and Children's Health, Stockholm, Sweden.

Purpose: To investigate the impact of hospital administrative level and caseload of pediatric appendectomies on the morbidity and mortality after appendectomy in a population-based cohort of Swedish children.

Methods: Population-based cohort study including all Swedish children less than 15 years of age that underwent appendectomy for suspected appendicitis, 1987-2009. Patient characteristics and data on postoperative morbidity and mortality were collected from the Swedish National Patient Register and the Swedish Death Register. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.013DOI Listing

Acute surgical unit improves outcomes in appendicectomy.

ANZ J Surg 2019 Apr 15. Epub 2019 Apr 15.

Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.

Background: Few large Australian studies have explored the impact of acute surgical unit (ASU) model in appendicitis.

Methods: An ASU model commenced practice at our institution on 1 August 2012. In this retrospective cohort study, patients undergoing appendicectomy 2. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ans.15141
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http://dx.doi.org/10.1111/ans.15141DOI Listing
April 2019
2 Reads

Fast-track surgery for acute appendicitis in children: a systematic review of protocol-based care.

ANZ J Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Paediatric Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.

Background: 'Fast-track' surgery protocols aim to standardize and rationalize post-operative care, with evidence of safety and efficacy in both uncomplicated and complicated childhood appendicitis. Generalization for broader adoption has been limited by variation in protocol design, including specific antibiotic choice, discharge criteria, post-operative monitoring and patient selection.

Methods: A systematic review of the literature was performed to evaluate the current evidence underpinning fast-track protocols for childhood appendicitis and identify areas of consensus and controversy. Read More

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http://dx.doi.org/10.1111/ans.15125DOI Listing
April 2019
3 Reads

Cecal fecaloma: A rare cause of right lower quadrant pain.

Eur J Radiol Open 2019 4;6:136-138. Epub 2019 Apr 4.

Department of Radiology, McMaster University, Hamilton, Ontario, Canada.

Fecalomas are masses of hardened feces that become impacted and accumulate. They are much harder in consistency than fecal impaction due to the associated coprostasis and are typically found in the sigmoid colon or rectum. Cecal fecalomas are much rarer. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S23520477193001
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http://dx.doi.org/10.1016/j.ejro.2019.03.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449651PMC
April 2019
2 Reads

Delta neutrophil index as a prognostic marker in emergent abdominal surgery.

J Clin Lab Anal 2019 Apr 15:e22895. Epub 2019 Apr 15.

Department of Colorectal Surgery, University of Hallym College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.

Background: Delta neutrophil index (DNI) is the fraction of circulating immature granulocytes provided by a routine, complete blood cell analyzer. It is known to be a useful prognostic marker of sepsis. The aim of this study was to evaluate the role of DNI in the diagnosis and prognosis of patients who had undergone emergent surgery for an acute abdomen. Read More

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http://dx.doi.org/10.1002/jcla.22895DOI Listing
April 2019
3 Reads

Culture-based bacterial evaluation of the appendix lumen in patients with and without acute appendicitis.

J Infect Chemother 2019 Apr 11. Epub 2019 Apr 11.

Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences, Japan.

Purpose: Controversy exists over whether bacterial flora within the appendix differs between patients with and without appendicitis. To examine these potential differences, we cultured the appendiceal luminal microbiota of patients with and without acute appendicitis, and identified the bacterial species therein.

Methods: Fifty-seven patients with acute appendicitis and 37 patients without acute appendicitis who underwent curative resection of colorectal cancer and prophylactic appendectomies (control group) were included. Read More

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http://dx.doi.org/10.1016/j.jiac.2019.03.021DOI Listing
April 2019
1 Read

Appendectomy in Switzerland: how is it done?

Updates Surg 2019 Apr 13. Epub 2019 Apr 13.

Department of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401, Winterthur, Switzerland.

More than 10,000 appendectomies are performed every year in Switzerland. The aim of this study was to investigate the treatment strategy for appendicitis among Swiss surgeons with particular interest in laparoscopic technique, method of appendiceal stump closure, and abdominal lavage. We performed an anonymous survey among 540 members of the Swiss Surgical Society. Read More

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http://dx.doi.org/10.1007/s13304-019-00654-zDOI Listing
April 2019
1 Read

Ingested metallic foreign body impacted in the vermiform appendix presenting as acute appendicitis: Case report.

Int J Surg Case Rep 2019 Apr 5;57:201-204. Epub 2019 Apr 5.

University of Duhok, College of Medicine, Department of Surgery, Duhok city, Kurdistan Region, Iraq.

Introduction: Ingestion of foreign bodies and their impaction at the lumen of the appendix is a very rare finding and only few cases have been reported all over the world. A variety of metallic foreign bodies when ingested may be lodged in the lumen of the appendix such as screws, bird shots, and needles. This is called in most literatures as foreign body appendicitis. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.052DOI Listing
April 2019
1 Read

bacteremia and hepatic abscess in a non-neutropenic patient.

IDCases 2019 5;15:e00510. Epub 2019 Mar 5.

Rose Medical Center, Denver, CO, USA.

A 43-year-old previously healthy man presented with altered mental status, diaphoresis, and fevers following a ruptured appendicitis and appendectomy. The patient had growth of and in blood cultures and imaging of the abdomen revealed a large hepatic abscess. is an uncommon cause of bacteremia in non-neutropenic patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22142509193000
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http://dx.doi.org/10.1016/j.idcr.2019.e00510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441761PMC
March 2019
1 Read

CT and Ultrasound findings in a case of De Garengeot's hernia: A case report.

Radiol Case Rep 2019 Jun 29;14(6):704-707. Epub 2019 Mar 29.

Rashid Hospital, Dubai, UAE.

De Garengeot's hernia is a rare entity defined as the presence of the appendix within the femoral hernia sac. Although appendicitis is a common surgical emergency, appendix herniation into the groin results in a complex symptoms and signs, which make it difficult to diagnose clinically. We report a case of a 72-year-old male who had De Garengeot's hernia. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.03.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441707PMC
June 2019
1 Read

Associations Between Sonographic Findings and Operative Time of Transumbilical Laparoscopic-Assisted Appendectomy for Acute Appendicitis in Children.

AJR Am J Roentgenol 2019 Apr 11:1-9. Epub 2019 Apr 11.

1 Department of Radiology, Saitama Children's Medical Center, Japan.

Objective: The purpose of this study is to evaluate the association between sonographic findings and the operative time of transumbilical laparoscopic-assisted appendectomy (TULAA) for appendicitis in children.

Materials And Methods: We included 131 children who underwent ultrasound within 24 hours before TULAA. We evaluated the associations between operative time and patients' demographics, as well as the following sonographic findings: maximum outer wall diameter of the appendix, appendicolith, ascites (not echogenic), echogenic ascites, abscess formation, increased intraabdominal fat echo in the right lower quadrant (RLQ; 3-point scale), and the location of the appendix (three locations). Read More

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http://dx.doi.org/10.2214/AJR.18.20937DOI Listing
April 2019
4 Reads

Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture.

Rev Bras Ginecol Obstet 2019 Apr 10. Epub 2019 Apr 10.

Instituto da Circulação, Curitiba, PR, Brazil.

Heterotopic pregnancy (HP) is defined as the simultaneous development of an intra- and an extra uterine gestation. The occurrence of a spontaneous triplet HP is an exceptionally rare medical condition. We report the case of a young woman with spontaneous heterotopic triplets at 8 weeks of gestation, with a misdiagnosis of topic twins and acute appendicitis. Read More

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http://dx.doi.org/10.1055/s-0039-1683910DOI Listing
April 2019
1 Read

Distal intestinal obstructive syndrome (DIOS): a gastrointestinal complication of cystic fibrosis in adults.

Authors:
Marianna Mavilia

Clin J Gastroenterol 2019 Apr 8. Epub 2019 Apr 8.

Department of Medicine, University of Connecticut, 263 Farmington Ave, Farmington, CT, 06030, USA.

Distal intestinal obstructive syndrome (DIOS) is a gastrointestinal complication of cystic fibrosis caused by increased viscosity of intraluminal contents leading to partial or complete bowel obstruction. DIOS is often misdiagnosed or mistaken for surgical bowel obstruction or appendicitis. This can lead to unnecessary surgical intervention when DIOS should be treated medically with aggressive bowel regimen. Read More

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http://dx.doi.org/10.1007/s12328-019-00979-7DOI Listing
April 2019
2 Reads

Acute appendicitis associated with the presence of schistosome eggs in a sailor: a case report.

Surg Case Rep 2019 Apr 8;5(1):55. Epub 2019 Apr 8.

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki city, Nagasaki, 852-8501, Japan.

Background: Schistosomiasis is prevalent in tropical and subtropical areas and rarely reported in developed countries. Schistosomiasis often occurs as a chronic illness, which can cause liver and intestinal damage. Appendicitis is an unusual complication of schistosomiasis. Read More

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http://dx.doi.org/10.1186/s40792-019-0615-8DOI Listing
April 2019
1 Read

The APpendicitis PEdiatric (APPE) score: a new diagnostic tool in suspected pediatric acute appendicitis.

Pediatr Med Chir 2019 Apr 2;41(1). Epub 2019 Apr 2.

Department of Pediatric Surgery, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna.

Our aim was to develop an APpendictis-PEdiatric score (APPE score) in quantifying risk of acute appendicitis based on combination of clinical and laboratory markers. 1025 patients were classified in: acute appendicitis (AA) and non-appendicitis. Demographic/clinical features, and laboratory were collected. Read More

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http://dx.doi.org/10.4081/pmc.2019.209DOI Listing
April 2019
2 Reads

Should the laparoscopic approach be the norm for appendicectomy in the third trimester of pregnancy?

BMJ Case Rep 2019 Apr 5;12(4). Epub 2019 Apr 5.

Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK.

Our case describes a pregnant woman with acute appendicitis who presented in the third trimester and underwent a laparoscopic appendicectomy. She made a rapid postoperative recovery and the pregnancy was otherwise uncomplicated, ending with a spontaneous vaginal birth at 41 weeks. The diagnosis of acute appendicitis can be unclear in pregnancy. Read More

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http://dx.doi.org/10.1136/bcr-2018-228192DOI Listing
April 2019
2 Reads

Chronic stump appendicitis as a cause of chronic abdominal pain.

Gastroenterol Hepatol 2019 Apr 2. Epub 2019 Apr 2.

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Tenerife, España.

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http://dx.doi.org/10.1016/j.gastrohep.2019.02.003DOI Listing
April 2019
2 Reads

Single institutional experience with initial ultrasound followed by computed tomography or magnetic resonance imaging for acute appendicitis in adults.

Abdom Radiol (NY) 2019 Apr 4. Epub 2019 Apr 4.

Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Avenue, Box 0628, San Francisco, CA, 94131, USA.

Purpose: The objectives of this study was to assess the performance of ultrasound (US) for suspected appendicitis in adult patients and to evaluated the additive value of short-interval (within 1 week) computed tomography (CT) or Magnetic Resonance Imaging (MRI) after performing an initial US.

Methods: In this IRB-approved, HIPAA-compliant, retrospective study, electronic medical records (EMRs) were queried for "US appendicitis" performed over a 2-year interval. EMR was reviewed for CT or MRI performed within 1 week of this exam, and if any new or additional information was available at subsequent exam. Read More

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http://dx.doi.org/10.1007/s00261-019-01998-1DOI Listing
April 2019
4 Reads

Neuroendocrine tumor of the appendix-a case report and review of the literature.

J Surg Case Rep 2019 Mar 29;2019(3):rjz086. Epub 2019 Mar 29.

Department of General Surgery, University Hospital Center of Oporto, Oporto, Portugal.

Incidental appendiceal neuroendocrine tumors (ANETs) occur in 0.2-0.7% of surgical resections for suspected appendicitis (Moris, Tsilimigras, Vagios, Ntanasis-stathopoulos, Karachaliou, Papalampros, Neuroendocrine neoplasms of the appendix: a review of the literature. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjz08
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http://dx.doi.org/10.1093/jscr/rjz086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439513PMC
March 2019
6 Reads

An unusual cause of chronic diarrhea: plastron appendicitis.

Gastroenterol Hepatol Bed Bench 2019 ;12(1):74-75

Ankara Numune Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey.

Chronic diarrhea is defined as diarrhea that lasts longer than four weeks. Etiology of chronic diarrhea includes inflammatory bowel disease, malabsorption syndromes, irritable bowel disease, chronic parasitic infections, bacterial toxins, drugs and motility disorders. Plastron appendicitis is an abscess formation that occurs when the appendix is surrounded by the omentum following perforation of acute appendicitis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441483PMC
January 2019
1 Read

Gene expression profile analysis of colon cancer grade II into grade III transition by using system biology.

Gastroenterol Hepatol Bed Bench 2019 ;12(1):60-66

Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Aim: Gene expression profile analysis of colon cancer grade II into grade III transition by using system biology.

Background: Colon cancer is one of lethal cancer in men and women. Treatment in advanced colon cancer is difficult and survival rate is low. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441480PMC
January 2019
2 Reads

Barium Appendicitis: An Unusual Complication of Barium Enema.

Am Surg 2019 Mar;85(3):e160-e161

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March 2019
1 Read

[Treatment of appendicitis with antibiotics only; still a bridge too far].

Ned Tijdschr Geneeskd 2019 Mar 14;163. Epub 2019 Mar 14.

Amsterdam UMC, locatie AMC, afd. Chirurgie.

Antibiotic treatment instead of surgery for uncomplicated appendicitis seems attractive since it may lead to fewer complications. Moreover, patients who have surgery after failed initial antibiotic treatment have comparable complication rates to those undergoing immediate appendectomy. There are caveats, since patients treated with only antibiotics have a 40% chance of recurrent appendicitis within the following years. Read More

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[A man with abdominal pain and nausea].

Ned Tijdschr Geneeskd 2019 Mar 21;163. Epub 2019 Mar 21.

Noordwest Ziekenhuisgroep, locatie Alkmaar, afd. Heelkunde.

A 63-year-old man with a history of orthotopic liver transplantation was presented to the emergency department with progressive right flank pain and nausea. On physical examination, we found a hernia cicatricalis that was painful on palpation. An abdominal CT scan showed acute perforated appendicitis, located in a hernia cicatricalis. Read More

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March 2019
2 Reads

[Emergency surgery in Russian Federation (in Russian only)].

Khirurgiia (Mosk) 2019 (3):88-97

Vishnevsky National medical research center of surgery of Ministry of Health of Russia, Moscow, Russia.

In the following article, we present the key trends in emergency surgical care in the Russian Federation between 2000 and 2017. The study used data from federal statistical observations and a survey of state medical institutions in 80 regions encompassing 99.3% of the country's population. Read More

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http://dx.doi.org/10.17116/hirurgia201903188DOI Listing
January 2019
2 Reads

Findings in Appendectomies with Infection: Pinworm Is Not A Cause of Appendicitis

Turkiye Parazitol Derg 2019 Mar;43(1):21-25

Adıyaman University Faculty of Medicine, Department of Pediatric Surgery, Adıyaman, Turkey

Objective: To evaluate the histopathological findings in appendectomy materials with infection.

Methods: Appendectomy materials with infection of 24 cases were evaluated for the presence of acute inflammation, congestion, hemorrhage, perforation, lymphoid hyperplasia (LH), necrosis, granuloma, fecalith, obliteration, hyalinization, eosinophilic infiltration and mucosal architectural distortion.

Results: The frequency of among 3222 appendectomies that were scanned for the study was 0. Read More

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http://dx.doi.org/10.4274/tpd.galenos.2019.6177DOI Listing
March 2019
4 Reads

Retrospective Analysis of Post-Operative Antibiotics in Complicated Appendicitis.

Surg Infect (Larchmt) 2019 Mar 30. Epub 2019 Mar 30.

1 Department of Surgery, Boston University School of Medicine, Boston, Massachusetts.

Background: There is no consensus regarding the ideal post-operative antibiotic strategy for surgically managed complicated appendicitis. The goal of this study was to investigate different antibiotic regimens used for this purpose at our institution and their association with post-operative outcomes.

Methods: The 1,102 patients underwent appendectomy from 2012 to 2016. Read More

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https://www.liebertpub.com/doi/10.1089/sur.2018.223
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http://dx.doi.org/10.1089/sur.2018.223DOI Listing
March 2019
7 Reads

Potential benefit and harm of social media and predatory publishing: a commentary on "Antibiotic-treated acute appendicitis-reception in social media".

Langenbecks Arch Surg 2019 Mar 30. Epub 2019 Mar 30.

St Louis University, St Louis, MO, 63104, USA.

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http://dx.doi.org/10.1007/s00423-019-01778-xDOI Listing
March 2019
2 Reads

Antibiotic-treated acute appendicitis-reception in social media.

Langenbecks Arch Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital Giessen, Giessen, Germany.

Purpose: Social media, especially Twitter®, is becoming increasingly important for medical topics. Systematic analyses of the content of these tweets are rare. To date, no analysis of the reception of antibiotic/non-operative-treated acute appendicitis on Twitter® has been performed. Read More

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http://dx.doi.org/10.1007/s00423-019-01777-yDOI Listing
March 2019
1 Read

Diagnostic Utilization and Accuracy of Pediatric Appendicitis Imaging at Adult and Pediatric Centers.

J Surg Res 2019 Mar 25;240:97-103. Epub 2019 Mar 25.

Division of Pediatric Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Pediatric Surgery, Children's Health, Dallas, Texas. Electronic address:

Background: Diagnostic imaging in pediatric appendicitis may decrease rates of negative appendectomy and identify alternate pathologies. We compared imaging practices for children transferred from nonpediatric facilities versus directly admitted to our tertiary children's hospital for laparoscopic appendectomy, and assessed the diagnostic accuracy in each population based on final pathologic diagnosis.

Materials And Methods: After institutional review board approval, all cases of laparoscopic appendectomy at our children's hospital during 2015 were reviewed. Read More

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http://dx.doi.org/10.1016/j.jss.2019.02.047DOI Listing
March 2019
2 Reads

Diagnostic accuracy of pediatric atypical appendicitis: Three case reports.

Medicine (Baltimore) 2019 Mar;98(13):e15006

Department of Pediatrics, Integrated Traditional Chinese and Western Medicine, Tianjin Nankai Hospital.

Rationale: Acute appendicitis is one of the most common causes of acute abdomen in children, yet it is difficult to diagnose in young children because its clinical manifestations may be atypical. Here, 3 atypical clinical cases associated with appendicitis in children are reported.

Patient Concern: The 1st case corresponds to a 5-year-old male patient who presented with abdominal discomfort, intermittent fevers, and vomiting, have increased white blood cell (WBC) count and C-reactive protein (CRP). Read More

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http://dx.doi.org/10.1097/MD.0000000000015006DOI Listing
March 2019
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Disease burden of appendectomy for appendicitis: a population-based cohort study.

Surg Endosc 2019 Mar 27. Epub 2019 Mar 27.

Department of Surgery, Erasmus MC - University Medical Center, PO Box 2040, 3000CA, Rotterdam, The Netherlands.

Background: Few large-scale epidemiologic studies evaluate the clinical and economic burden of appendicitis. These data may impact future research and treatment strategies. In this study, the objective was to determine the burden of appendectomy for appendicitis in terms of incidence rates, length of hospital stay (LOS) and hospital costs on a national level. Read More

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http://dx.doi.org/10.1007/s00464-019-06738-6DOI Listing

Acute Right Lower Abdomen in a Patient with a History of Gastrointestinal Stromal Tumor.

Case Rep Surg 2019 21;2019:6091515. Epub 2019 Feb 21.

University of Maryland Community Medical Group, Surgical Care, 500 Cadmus Lane, Easton, MD 21601, USA.

Background: Gastrointestinal stromal tumor (GIST) is an uncommon tumor of the GI tract usually seen in elderly patients, often difficult to diagnose because of the unspecific symptoms such as abdominal pain and fullness. Recurrent GIST may have an even more obscure clinical presentation.

Case Report: A 44-year-old female with a history of surgically treated GIST presented to the emergency room complaining of acute onset sharp RLQ pain, nausea, and vomiting. Read More

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http://dx.doi.org/10.1155/2019/6091515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409008PMC
February 2019
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Cytokines and Chemokines in Pediatric Appendicitis: A Multiplex Analysis of Inflammatory Protein Mediators.

Mediators Inflamm 2019 21;2019:2359681. Epub 2019 Feb 21.

Department of Microbiology, Immunology and Infectious Diseases, Cumming School of Medicine, University of Calgary, Calgary AB, Canada.

Objectives: We aimed to demonstrate the potential of precision medicine to describe the inflammatory landscape present in children with suspected appendicitis. Our primary objective was to determine levels of seven inflammatory protein mediators previously associated with intra-abdominal inflammation (C-reactive protein-CRP, procalcitonin-PCT, interleukin-6 (IL), IL-8, IL-10, monocyte chemoattractant protein-1-MCP-1, and serum amyloid A-SAA) in a cohort of children with suspected appendicitis. Subsequently, using a multiplex proteomics approach, we examined an expansive array of novel candidate cytokine and chemokines within this population. Read More

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http://dx.doi.org/10.1155/2019/2359681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409077PMC
February 2019
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Combined Mucinous and Neuroendocrine Tumours of the Appendix Managed with Surgical Cytoreduction and Oxaliplatin-based Hyperthermic Intraperitoneal Chemotherapy.

Cureus 2019 Jan 16;11(1):e3894. Epub 2019 Jan 16.

Surgery, Hôpital Maisonneuve-Rosemont, Montréal, CAN.

Appendiceal neoplasms account for 1% of appendectomy specimens. Common subtypes include mucinous cystadenoma, adenocarcinoma, and neuroendocrine tumors (NETs). The simultaneous presence of appendicular mucinous and NETs is a rare event. Read More

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http://dx.doi.org/10.7759/cureus.3894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424473PMC
January 2019
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Laparoscopy-induced severe renal failure after appendectomy.

J Surg Case Rep 2019 Mar 21;2019(3):rjz079. Epub 2019 Mar 21.

Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain.

Laparoscopy has gained importance in the abdominal emergency surgery field. Acute appendicitis is one of the major indications for emergency surgery, being laparoscopy the gold standard approach. We report a case of a 39-years-old female presenting with acute kidney injury (AKI) after laparoscopy. Read More

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http://dx.doi.org/10.1093/jscr/rjz079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428156PMC
March 2019
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Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients.

Ann Transplant 2019 Mar 26;24:168-173. Epub 2019 Mar 26.

Transplant Research Center, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

BACKGROUND Clinical characteristics of acute appendicitis in kidney transplant recipients may be different from those in the general population due to kidney transplant recipient's immunosuppressive state and position change of appendix caused by graft. MATERIAL AND METHODS Clinical characteristics of 10 cases of acute appendicitis among 2880 cases of kidney transplantation were evaluated, including diagnostic rate, location of appendix and complication in kidney transplant recipients. RESULTS Acute appendicitis was suspected in 9 of 10 patients (90%) with acute appendicitis based on clinical and laboratory findings. Read More

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http://dx.doi.org/10.12659/AOT.914134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446653PMC
March 2019
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Surgical emergencies in pregnancy in the era of modern diagnostics and treatment.

Taiwan J Obstet Gynecol 2019 Mar;58(2):177-182

R.G.Kar Medical College and Hospital, India.

Pregnancy can be complicated with different surgical emergencies which may potentially endanger the mother as well as foetus. In the modern era of advanced diagnostics and treatments, neither of them in response to a surgical emergency in a pregnant woman should be delayed. Appropriate early intervention is essential to decrease the morbidity and mortality. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.01.001DOI Listing
March 2019
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Nonoperative Management Is Cost-Effective in Patients With Perforated Appendicitis With Longer Days of Symptoms.

J Surg Res 2019 Mar 22;240:70-79. Epub 2019 Mar 22.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, California; Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California. Electronic address:

Background: Management of perforated appendicitis in children remains controversial. Nonoperative (NO) and immediate operative (IO) strategies are used with varying outcomes. We hypothesized that IO intervention for patients with perforated appendicitis would be more cost-effective than NO management. Read More

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http://dx.doi.org/10.1016/j.jss.2019.02.033DOI Listing

Management of acute appendicitis in adults: A practice management guideline from the Eastern Association for the Surgery of Trauma.

J Trauma Acute Care Surg 2019 Mar 22. Epub 2019 Mar 22.

Weill Cornell Medicine, New York,

Background: Acute appendicitis (AA) has been considered one of the most common acute surgical conditions in the world. Recent studies, however, have suggested that non-operative management (NOM) with a course of antibiotics (ABX) may be as effective as surgery in treating appendicitis. As there are evolving perspectives regarding the optimal therapy for appendicitis, we sought to provide recommendations regarding the role of NOM with the administration of antibiotics (antibiotics-first approach) in uncomplicated AA as well as the need for routine interval appendectomy (RIA) in those presenting with appendiceal abscess or phlegmon (AAP) initially managed without appendectomy. Read More

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http://dx.doi.org/10.1097/TA.0000000000002270DOI Listing
March 2019
7 Reads