24,580 results match your criteria Appendicitis


Acute Appendicitis During Coronavirus Disease 2019 (COVID-19): Changes in Clinical Presentation and CT Findings.

J Am Coll Radiol 2020 Jun 28. Epub 2020 Jun 28.

Fundación Santa Fe de Bogotá, Bogotá, Colombia.

Background: Quarantine and stay-at-home orders are strategies that many countries used during the acute pandemic period of coronavirus disease 2019 (COVID-19) to prevent disease dissemination, health system overload, and mortality. However, there are concerns that patients did not seek necessary health care due to these mandates.

Purpose: To evaluate the differences in the clinical presentation of acute appendicitis and CT findings related to these cases between the COVID-19 acute pandemic period and nonpandemic period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jacr.2020.06.002DOI Listing

Role of Laparoscopic Appendectomy Radix Ligation Techniques on the Formation of Inner Abdomen Abscess.

Sisli Etfal Hastan Tip Bul 2018 5;52(3):164-168. Epub 2018 Sep 5.

Department of General Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Objectives: Our aim was to study whether laparoscopic appendectomy radix ligation techniques were eutrophic in the development of intra-abdominal abscess.

Methods: Between September 2009 and April 2017, all emergency cases admitted to our surgery polyclinic were reviewed, and the results of the patients who underwent laparoscopic appendectomy were collected. Appendectomy radix ligation techniques were reviewed from surgical notes on discharge reports. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14744/SEMB.2017.92905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315095PMC
September 2018

Current management of pediatric appendicitis: A Central European survey.

Adv Clin Exp Med 2020 Jun 30. Epub 2020 Jun 30.

Department of Pediatric Surgery and Urology, Wroclaw Medical University, Poland.

Background: Appendicitis is one of the most common diagnoses in pediatric populations. Although new recommendations for the treatment of pediatric appendicitis were published, management varies among different institutions.

Objectives: To determine current practices in 4 (n = 4) representative pediatric surgical departments in Central Europe. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17219/acem/122176DOI Listing

Cerebral venous sinus thrombosis in a patient with appendicular abscess: a case report.

World Neurosurg 2020 Jun 26. Epub 2020 Jun 26.

Department of Neurosurgery, Shengzhou People's Hospital (the First Affiliated Hospital of Zhejiang University Shengzhou Branch).

Background: Acute appendicitis is a common abdominal emergency, while cerebral venous sinus thrombosis (CVST) is a rare cerebral vascular disease. Cases of CVST in patients with appendicitis have not been reported in literature.

Case Description: Here we reported a case of CVST in a patient with appendicular abscess. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2020.06.183DOI Listing

Usefulness of intraoperative culture swabs in laparoscopic appendectomy for complicated appendicitis.

Langenbecks Arch Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, C1118AAT, Buenos Aires, Argentina.

Purpose: Intraabdominal abscess (IAA) is a feared complication after laparoscopic appendectomy (LA) for complicated appendicitis. Benefits of obtaining intraoperative culture swabs (ICS) still remain controversial. We aimed to determine whether ICS modify the rate and management of IAA after LA for complicated appendicitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00423-020-01913-zDOI Listing

A Nationwide Cohort Study of Outcome after Pediatric Appendicitis.

Eur J Pediatr Surg 2020 Jun 26. Epub 2020 Jun 26.

Pediatric Unit, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Introduction:  Children with appendicitis often present with complicated disease. The aim of this study was to describe the clinical management of pediatric appendicitis, and to report how disease severity and operative modality are associated with short- and long-term risks of adverse outcome.

Materials And Methods:  A nationwide retrospective cohort study of all Swedish children (<18 years) diagnosed with appendicitis, 2001 to 2014 ( = 38,939). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1712508DOI Listing

Development of a rubric for assessing delayed diagnosis of appendicitis, diabetic ketoacidosis and sepsis.

Diagnosis (Berl) 2020 Jun 25. Epub 2020 Jun 25.

Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.

Objectives Using case review to determine whether a patient experienced a delayed diagnosis is challenging. Measurement would be more accurate if case reviewers had access to multi-expert consensus on grading the likelihood of delayed diagnosis. Our objective was to use expert consensus to create a guide for objectively grading the likelihood of delayed diagnosis of appendicitis, new-onset diabetic ketoacidosis (DKA), and sepsis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1515/dx-2020-0035DOI Listing

Comparison of the demographic and clinical features of pregnant and non-pregnant patients undergoing appendectomy.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):555-562

Department of Surgery and Liver Transplant Institute, İnönü University Faculty of Medicine, Malatya-Turkey.

Background: This retrospective study aims to compare the demographic and clinicopathological characteristics of the pregnant and non-pregnant patients who underwent appendectomy with a presumed diagnosis of acute appendicitis.

Methods: Between June 2009 and January 2019, 431 reproductive-aged of female patients underwent appendectomy with a presumed diagnosis of acute appendicitis. Patients were divided into two groups considering their pregnancy status: pregnant group (n=48) and non-pregnant group (n=383). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14744/tjtes.2020.12544DOI Listing

Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis.

Turk J Emerg Med 2020 Apr-Jun;20(2):86-89. Epub 2020 Feb 17.

Department of Surgery, Faculty of Medicine, The National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.

Pneumatosis intestinalis (PI) is a rare radiological finding, characterized by the presence of gas in the bowel wall. It has a wide spectrum of possible underlying diagnosis ranging from benign to life-threatening conditions. We present a case of a previously healthy male who was initially presented with missed diagnosis of acute appendicitis which had led to perforated appendix. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/2452-2473.278560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305666PMC
February 2020

Increased body mass index percentile is associated with decreased epiphyseal tubercle size in asymptomatic children and adolescents with healthy hips.

J Child Orthop 2020 Jun;14(3):167-174

Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Purpose: To investigate whether body mass index (BMI) percentile impacts the morphology of the capital femoral epiphysis in children and adolescents without hip disorders.

Methods: We assessed 68 subjects with healthy hips who underwent a pelvic CT for evaluation of appendicitis. There were 32 male patients (47%) and the mean age was 11. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/1863-2548.14.200042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302419PMC

The Genus : Gut Bacteria With Emerging Implications to Inflammation, Cancer, and Mental Health.

Front Immunol 2020 9;11:906. Epub 2020 Jun 9.

Division of Gastroenterology and Liver Disease, Case Western Reserve University School of Medicine, Cleveland, OH, United States.

is a relatively new genus of bacteria isolated primarily from medical clinical samples, although at a low rate compared to other genus members of the phylum, which are highly relevant in dysbiosis and disease. According to the taxonomy database at The National Center for Biotechnology Information, the genus consists of 13 species: , and and , and the subspecies subspecies vulgaris (vs. subsp. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fimmu.2020.00906DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296073PMC

Appendiceal actinomycosis mimicking appendiceal tumor, appendicitis or inflammatory bowel disease.

J Pathol Transl Med 2020 Jun 26. Epub 2020 Jun 26.

Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Appendiceal actinomycosis is very rare and its diagnosis is often difficult even in surgically resected specimens. Here we report two cases of appendiceal actinomycosis confirmed by pathologic examination of surgically resected specimens. Characteristic histologic features included transmural chronic inflammation with Crohn-like lymphoid aggregates and polypoid mucosal protrusion into cecal lumen through fibrous expansion of the submucosa. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4132/jptm.2020.05.17DOI Listing

Appendiceal neoplasms and histological involvement of the mesoappendix: A case series.

Ann Med Surg (Lond) 2020 Aug 12;56:64-67. Epub 2020 Jun 12.

Darent Valley Hospital, Dartford and Gravesham NHS Trust, Dartford, DA2 8DA, United Kingdom.

Introduction: Acute appendicitis is a common presentation to surgical departments, typically resulting in appendicectomy. Appendiceal tumours may not be visible intraoperatively, and are present in roughly 0.5-1% of specimens. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2020.05.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305355PMC

Emergency surgery in an elective setting: a case report detailing incidental diagnosis of a de Garengeot hernia.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa164. Epub 2020 Jun 15.

Department of Surgery, Beaumont Hospital, Dublin, Ireland.

We present a case of acute appendicitis within an incarcerated femoral hernia. This is a rare complication of the phenomenon eponymously known as a 'De Garengeot Hernia', which describes a vermiform appendix in an incarcerated femoral hernia sac. Our case is somewhat unique in the manner by which the affected patient had presented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjaa164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297558PMC

Reduced-port laparoscopic appendectomy for acute appendicitis in pregnancy.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa097. Epub 2020 Jun 15.

Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan.

Current guidelines indicate that laparoscopic appendectomies are safe for pregnant patients with acute appendicitis. Recently, single- and reduced-port laparoscopic surgeries have gained popularity for nonpregnant patients, because they minimize abdominal wall trauma. Here, we describe a reduced-port laparoscopic appendectomy (RPLA) in a 31-year-old pregnant female performed at 27 weeks gestational age. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjaa097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297555PMC

Task-based characterization of a deep learning image reconstruction and comparison with filtered back-projection and a partial model-based iterative reconstruction in abdominal CT: A phantom study.

Phys Med 2020 Jun 20;76:28-37. Epub 2020 Jun 20.

Department of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Rue du Bugnon 46, 1011 Lausanne, Switzerland. Electronic address:

Purpose: We aimed to thoroughly characterize image quality of a novel deep learning image reconstruction (DLIR), and investigate its potential for dose reduction in abdominal CT in comparison with filtered back-projection (FBP) and a partial model-based iterative reconstruction (ASiR-V).

Methods: We scanned a phantom at three dose levels: regular (7 mGy), low (3 mGy) and ultra-low (1 mGy). Images were reconstructed using DLIR (low, medium and high levels) and ASiR-V (0% = FBP, 50% and 100%). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejmp.2020.06.004DOI Listing

Computed tomography for the diagnosis of acute appendicitis: Where do we stand?

Int J Surg 2020 Jun 20. Epub 2020 Jun 20.

Department of Surgery, Hospital Alemán of Buenos Aires, Argentina. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijsu.2020.05.094DOI Listing

Clinical Characteristics of 5 COVID-19 Cases With Non-respiratory Symptoms as the First Manifestation in Children.

Front Pediatr 2020 12;8:258. Epub 2020 May 12.

Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

An outbreak of the novel coronavirus disease 2019 (COVID-19) occurred in Wuhan, China, in December 2019, which then rapidly spread to more than 80 countries. However, detailed information on the characteristics of COVID-19 in children is still scarce. Five patients with non-respiratory symptoms as the first manifestation were hospitalized from the emergency department, and were later confirmed to have COVID-19, between 23 January and 20 February 2020, at the Wuhan Children's Hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fped.2020.00258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235428PMC

Laparoscopic treatment of De Garengeot hernia with Progrip.

Ann Ital Chir 2020 Jun 16;9. Epub 2020 Jun 16.

Background: Many eponyms have been used to classify some rare conditions of incarceration of a hernia at the level of the groin and femoral canal. The incarceration of the appendix at the level of the groin canal was first described by Claudius Amyand, while the incarceration of the appendix inside the femoral canal is a condition known as De Garengeot hernia. The incidence of such an event is very low and surgical treatment is usually performed via inguinal approach. Read More

View Article

Download full-text PDF

Source

Pseudosarcomatous myofibroblastic proliferation of the appendix with an abdominal abscess due to diverticulum perforation: a case report.

Surg Case Rep 2020 Jun 22;6(1):144. Epub 2020 Jun 22.

Department of Surgery, Minami-Nara General Medical Center, 8-1 Oaza-Fukugami, Oyodo-cho, Yoshino-gun, Nara, 638-8551, Japan.

Background: Pseudosarcomatous myofibroblastic proliferation is a rare proliferative lesion of the submucosal stroma characterized by myofibroblast proliferation and inflammatory cell infiltration, and is mainly reported in the urinary system.

Case Presentation: We report a 65-year-old male who was referred to our emergency room with right-side iliac fossa pain. The pain gradually worsened for approximately 2 months, and rebound tenderness was positive. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-00901-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310037PMC

Identifying Retrocecal Appendicitis on Point-of-Care Ultrasound (POCUS).

J Emerg Med 2020 Jun 19. Epub 2020 Jun 19.

Department of Pediatric Emergency Medicine, Rehovot, Israel.

Background: Retrocecal appendicitis may be challenging to find. We present the first case series in which retrocecal appendicitis was found on point-of-care ultrasound (POCUS).

Case Reports: In each of the five cases, appendicitis was found by a pediatric emergency physician in the right periumbilical region or right upper quadrant. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jemermed.2020.05.002DOI Listing

The experiences of interval appendectomy for inflammatory appendiceal mass.

Pediatr Int 2020 Jun 22. Epub 2020 Jun 22.

Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Background: Interval appendectomy (IA) is a common treatment of acute appendicitis (AA) with inflammatory appendiceal mass (IAM). However, the management of patients with IAM is still controversial. The aim of this study was to assess the outcomes in patients with this condition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ped.14358DOI Listing

Association of Parental Mental Illness With Child Injury Occurrence, Hospitalization, and Death During Early Childhood.

JAMA Pediatr 2020 Jun 22:e201749. Epub 2020 Jun 22.

Department of Epidemiology, University of Washington, Seattle.

Importance: Injury is a leading cause of childhood morbidity and mortality worldwide. Serious mental illness (SMI) is a major contributor to the global burden of disease.

Objective: To compare injury event rates in children from birth to 5 years of age among Taiwanese children with and without parents with SMI, including schizophrenia, bipolar disorder, and major depressive disorder. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamapediatrics.2020.1749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309091PMC

Is there a relationship between use of drains and postoperative complications in complicated acute appendicitis?

Cir Cir 2020 ;88(4):533-534

Servicio de Cirugía General, Hospital de Medina del Campo de Valladolid, Valladolid. España.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.24875/CIRU.20001731DOI Listing
January 2020

Septic arthritis of the hip, an unreported complication of perforated appendicitis: A case report.

Int J Surg Case Rep 2020 Jun 11;72:281-284. Epub 2020 Jun 11.

Texas A&M College of Medicine, 3050 Health Professions Education Building, 8447 Riverside Pkwy, Bryan, TX 77807, United States; Houston Methodist Hospital, Department of Surgery, Houston, TX 77030, United States.

Introduction: Progression of inflammation in acute appendicitis can lead to appendiceal perforation, which is associated with higher morbidity and mortality. Bacteremia due to a perforated appendicitis can lead to distal bacterial seeding, resulting in further complications.

Presentation Of Case: We present here a case of appendiceal perforation in a 32-year-old previously healthy male. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.05.093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305349PMC

Preoperative Opioids Associated With Increased Postoperative Opioid Use in Pediatric Appendicitis.

J Surg Res 2020 Jun 16;255:144-151. Epub 2020 Jun 16.

McGovern Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Center for Surgical Trials and Evidence-based Practice (C-STEP), McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas. Electronic address:

Background: In light of current opioid-minimization efforts, we aimed to identify factors that predict postoperative opioid requirement in pediatric appendicitis patients.

Methods: A single-center retrospective cohort study was conducted of children (<18 y) who underwent laparoscopic appendectomy for acute appendicitis between January 1, 2018 and April 30, 2019. Patients who underwent open or interval appendectomies were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2020.05.022DOI Listing

Case of Appendix Incarcerated in an Umbilical Hernia.

Authors:
Feroze Sidhwa

J Laparoendosc Adv Surg Tech A 2020 Jun 19. Epub 2020 Jun 19.

Department of Surgery, San Joaquin General Hospital, French Camp, California, USA.

Umbilical hernias and acute appendicitis are common general surgical problems, but an appendix incarcerated in an umbilical hernia is quite rare. We present a case of such and briefly review the available literature on the topic. We conclude that future authors should include a minimum set of information in such case reports or case series so that readers can gain as much as possible from our collective experience with this uncommon problem. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/lap.2020.0333DOI Listing

[Appendiceal collision tumor: Mucinous epithelial neoplasm and neuroendocrine tumor].

Rev Fac Cien Med Univ Nac Cordoba 2020 04 7;77(2):113-116. Epub 2020 Apr 7.

Sanatorio Allende..

Introduction: An appendiceal collision tumor is defined as the presence of histologically distinct types of tumors in the appendix without transition between them. Appendiceal tumors are rare, with epithelial neoplasms and neuroendocrine tumors being the most common.

Objective: Report the case of woman with acute appendicitis and diagnosis of an appendiceal collision tumor. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.31053/1853.0605.v77.n2.25071DOI Listing

Discordant outcomes of laparoscopic versus open appendectomy for suspected appendicitis during pregnancy in published meta-analyses: an overview of systematic reviews.

Surg Endosc 2020 Jun 16. Epub 2020 Jun 16.

Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Zagreb, Croatia.

Objectives: Our study aimed to explore the discrepancy of results between overlapping systematic reviews (SRs) of laparoscopic appendectomy (LA) versus open appendectomy (OA) for suspected appendicitis during pregnancy.

Methods: MEDLINE, Embase, and Cochrane Database of Systematic Reviews (CDSR) were searched for SRs published from January 1, 2017 to September 10, 2019. SRs and meta-analyses (MA) that compared outcomes of LA versus OA during pregnancy were used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-020-07674-6DOI Listing
June 2020
3.256 Impact Factor

Clinical indications for the use of computed tomography in children who underwent frequent computed tomography: a near-13-year follow-up retrospective study at a single institution in Japan.

Radiat Environ Biophys 2020 Jun 18. Epub 2020 Jun 18.

Oita University of Nursing and Hearth Sciences, 2944-9 Megusuno, Oita, Oita, Japan.

Recent studies suggest a causal link of childhood leukemia and brain tumor with repeated computed tomography (CT) scans. The reasons why frequent CT scans are taken in a specific child remain unclear. The present study aimed to clarify the medical reasons why frequent CT examinations in children, and the characteristics of the diseases of those children that required multiple CT scans. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00411-020-00857-8DOI Listing

Endogenous endophthalmitis during pregnancy: Case report.

Arch Soc Esp Oftalmol 2020 Jun 15. Epub 2020 Jun 15.

Servicio de Retina y Vítreo, Instituto de la Retina del Bajío, Santiago de Querétaro, México.

Endogenous endophthalmitis is a disease that potentially threatens vision. It is produced by the haematogenous spread of microorganisms from a septic focus. It is a rare condition that is related to debilitating diseases, immunosuppression states, and invasive procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.oftal.2020.05.009DOI Listing

Pyogenic Liver Abscesses Caused by Acute Appendicitis: Frequency and Diagnostic and Therapeutic Recommendations.

Surg Infect (Larchmt) 2020 Jun 17. Epub 2020 Jun 17.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Tuebingen, Tuebingen, Germany.

Pyogenic liver abscesses (PLA) are caused by biliary diseases or hematogenous spreading of mostly intra-abdominal infections. Liver abscesses resulted in hematogenous spreading of infections via the portal vein, such as abscesses caused by acute appendicitis. Pyogenic liver abscesses associated with appendicitis have rarely been described in the literature, especially in adults. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/sur.2019.366DOI Listing

Atypical and novel presentations of Coronavirus Disease 2019: a case series of three children.

Br J Biomed Sci 2020 Jun 18. Epub 2020 Jun 18.

Pediatric Infectious Disease Research Center, Tehran University of Medical Science , Tehran, Iran.

Typical presentations of Coronavirus Disease 2019 (COVID19) including respiratory symptoms (cough, respiratory distress and hypoxia), fever and dyspnea are considered main symptoms in adults, but atypical presentation children could be a diagnostic challenge We report three children whose initial presentation was gastrointestinal, and in whom COVID-19 infection was found, concluding that cases of acute appendicitis, mesenteric adenitis and flank tenderness may mask and infection with this virus, which should therefore be investigated. Read More

View Article

Download full-text PDF

Source

Clinicopathologic and prognostic features in appendiceal malignancies: does tumor invasiveness matter?

Turk J Surg 2019 Dec 16;35(4):245-251. Epub 2019 Dec 16.

Department of General Surgery, Bursa High Specialty Training and Research Hospital, Bursa, Turkey.

Objectives: To evaluate the survival rates of appendiceal tumors and prognostic factors affecting survival.

Material And Methods: Demographic features, tumor characteristics and pre- and post-operative outcomes of the patients were analyzed retrospectively. The study was performed according to the Helsinki declaration. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5578/turkjsurg.4104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282450PMC
December 2019

Impact of routine histopathological examination of appendectomy specimens on patient management: a study of 4012 appendectomy specimens.

Turk J Surg 2019 Sep 23;35(3):196-201. Epub 2019 Sep 23.

Department of General Surgery, Al-jala Hospital, Benghazi University, Benghazi, Libya.

Objectives: For a suspected diagnosis of acute appendicitis, appendectomy is one of the most common emergency abdominal operations performed. However, the need for routine histopathological examination (HPE) of all appendectomy specimens has recently been questioned. The aim of this study was to assess whether a routine HPE of appendectomy specimens is needed and whether routine HPE has an impact on further management of patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5578/turkjsurg.4253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795225PMC
September 2019

Fast acquisition abdominal MRI study for the investigation of suspected acute appendicitis in paediatric patients.

Insights Imaging 2020 Jun 16;11(1):78. Epub 2020 Jun 16.

Department of Radiology, Cork University Hospital, Cork, Ireland.

Objectives: To assess the diagnostic accuracy of fast acquisition MRI in suspected cases of paediatric appendicitis presenting to a tertiary referral hospital.

Materials And Methods: A prospective study was undertaken between May and October 2017 of 52 children who presented with suspected appendicitis and were referred for an abdominal ultrasound. All patients included in this study received both an abdominal ultrasound and five-sequence MRI consisting of axial and coronal gradient echo T2 scans, fat-saturated SSFSE and a diffusion-weighted scan. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13244-020-00882-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297877PMC

Single-incision laparoscopic appendectomy is a safe procedure for beginners to perform: experience from 1948 cases.

Surg Endosc 2020 Jun 16. Epub 2020 Jun 16.

Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, #665, Bupyung-6-dong, Bupyunggu, 403-720, Incheon, Korea.

Background: Single-incision laparoscopic appendectomy (SIL-A) has recently become an option for treating appendicitis. The aim of this study was to evaluate the safety, feasibility, and surgical outcomes of SIL-A by residents and surgeons during the learning period.

Methods: A total of 1948 consecutive patients who underwent SIL-A from May 2008 to November 2014 were studied retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-020-07744-9DOI Listing

Clinical prediction of complicated appendicitis: A case-control study utilizing logistic regression.

World J Clin Cases 2020 Jun;8(11):2127-2136

Department of General Medicine and Emergency Care, Toho University School of Medicine, Ota-ku, Tokyo 143-8541, Japan.

Background: Since high-quality evidence on conservative treatment of acute appendicitis using antibiotics has increased, differentiation of patients with complicated appendicitis (CA) from those with simple appendicitis (SA) has become increasingly important. Previous studies have revealed that male gender, advanced age, comorbid conditions, prehospital delay, fever, and anorexia are risk factors of perforated appendicitis. Elevated serum C-reactive protein (CRP) level and hyponatremia have also been reported as predictive biomarkers of CA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12998/wjcc.v8.i11.2127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281035PMC

What is beyond testicular torsion and epididymitis? Rare differential diagnoses of acute scrotal pain in adults: A systematic review.

Ann Med Surg (Lond) 2020 Jul 29;55:265-274. Epub 2020 May 29.

Department of Urology, University Hospital Leipzig, Germany.

Background: Acute scrotal pain is a urological emergency. While for testicular torsion and acute epididymitis clinical recommendations are well established, few is known about low incidence causes of acute scrotal pain. Our aim is to identify and characterise rare differential diagnoses of acute scrotal pain in order to give diagnostic and therapeutic recommendations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2020.05.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283975PMC

Study protocol for daiobotanpito combined with antibiotic therapy for treatment of acute diverticulitis: a study protocol for a randomized controlled trial.

Trials 2020 Jun 16;21(1):531. Epub 2020 Jun 16.

Department of Molecular-Targeting Cancer Prevention, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 3-2-17-2F Imabashi, Chuo-ku, Osaka, 541-0042, Japan.

Background: Colonic diverticular disease has been increasing in prevalence due to the rapidly aging global population, but standard treatment has not changed dramatically in recent years. Daiobotanpito (DBT; Da Huang Mu Dan Tang in Chinese) has been used in medical treatment of acute abdominal abscesses, such as appendicitis or diverticulitis in traditional Japanese (Kampo) medicine for many years, based on more than 3000 years of experience. Prior to this study, a retrospective open-label trial was conducted to compare patients with acute diverticulitis who received oral DBT combined with intravenous antibiotics with those who received intravenous antibiotic alone; it showed a positive effect of DBT on acute diverticulitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-020-04370-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298760PMC

Complications of Appendectomy and Cholecystectomy in Acute Care Surgery: A Systematic Review and Meta-Analysis.

J Trauma Acute Care Surg 2020 Jun 10. Epub 2020 Jun 10.

Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Introduction: Acute care surgery (ACS) was initiated two decades ago to address timeliness and quality in emergency general surgery. We hypothesized that ACS has improved the management of acute appendicitis and biliary disease.

Methods: A comprehensive systematic review and meta-analysis of outcome studies for emergent appendectomy and cholecystectomy from 1966 to 2017, comparing studies prior to and following ACS implementation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/TA.0000000000002825DOI Listing

Cost Saving of Short Hospitalization Nonoperative Management for Acute Uncomplicated Appendicitis.

J Surg Res 2020 Jun 15;255:77-85. Epub 2020 Jun 15.

Department of Surgery, UCLA David Geffen School of Medicine, Los Angeles, California.

Background: Nonoperative management (NOM) of uncomplicated appendicitis has gained recognition as an alternative to surgery. In the largest published randomized trial (Appendicitis Acuta), patients received a 3-d hospital stay for intravenous antibiotics; however, cost implications for health care systems remain unknown. We hypothesized short stay protocols would be cost saving compared with a long stay protocol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2020.05.028DOI Listing

Non-operative management of acute appendicitis in a pediatric patient with concomitant COVID-19 infection.

J Pediatr Surg Case Rep 2020 Aug 31;59:101512. Epub 2020 May 31.

University of Chicago Medicine, USA.

Introduction: In late December 2019, reports emerged from Wuhan, China of a novel corovonavirus SARS-CoV-2, which caused severe acute respiratory distress syndrome referred to as COVID-19. As the virus spread, reports of severe perioperative complications, including fatalities, began to emerge in the literature. We present a case of a previously healthy patient who developed classic symptoms of appendicitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.epsc.2020.101512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261356PMC

Umbilical Hernia Containing Appendicitis.

Cureus 2020 May 12;12(5):e8075. Epub 2020 May 12.

Surgery, Beaumont Health, Dearborn, USA.

Umbilical hernia is a common cause for patient presentation to the surgeon, often on a nonemergent basis for a bulge at or lateral to the umbilicus but occasionally under emergency circumstances for pain or bowel obstruction when the hernia contents become incarcerated or strangulated. Risk factors for umbilical hernia include female gender, obesity, and ascites. A defect in the abdominal wall fascia at the umbilicus allows the preperitoneal adipose tissue, omentum, or small or large bowel to protrude through the defect. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290121PMC

Live Birth Following Uterine Transplantation From a Nulliparous Deceased Donor.

Transplantation 2020 Jun 9. Epub 2020 Jun 9.

Department of Transplantation Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background: Nulliparous uterine grafts have never been used in uterus transplantation, possibly due to presumed infertility. Our objective was to verify the feasibility of nulliparous uterine graft transplantation.

Methods: The Czech Uterus Transplant Trial (registered under ClinicalTrials. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/TP.0000000000003346DOI Listing

Carbapenems versus ciprofloxacin/metronidazole for decreasing complications and hospital stay following complicated acute appendicitis surgery: A prospective cohort in an Ecuadorian population.

Cir Cir 2020 ;88(3):297-305

Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador.

Background: After appendectomy due to complicated acute appendicitis (CAA), there are some alternatives as antibiotic scheme: ciprofloxacin/metronidazole; as well as monoscheme based on carbapenems: ertapenem, meropenem, and imipenem.

Aim: This study aims to prove the efficacy of carbapenems versus ciprofloxacin/metronidazole in CAA post-operative management in terms of preventing complications during post-operative period and decreasing hospital stay.

Materials And Methods: This was an observational, analytical, longitudinal, and prospective cohort study (March 2014-November 2016). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.24875/CIRU.19001275DOI Listing
January 2020

Evaluation of some cellular biomarker proteins, oxidative stress and clinical indices as results of laparoscopic appendectomy for perforated appendicitis in children.

Authors:
Qiang Liu Ke Xu

Cell Mol Biol (Noisy-le-grand) 2020 Jun 5;66(3):197-203. Epub 2020 Jun 5.

Pediatric Surgery, Baoji Maternal and Child Health care Hospital of Shaanxi Province, Baoji, 721000, China.

Laparoscopic appendectomy for perforated appendicitis in children has the advantages of quick recovery, little influence of inflammatory and oxidative stress and low infection rate. Altogether 115 children with perforated appendicitis treated in our hospital from June 2018 to August 2019 were selected and divided into two groups according to different treatment methods. Laparoscopic appendectomy was used as the research group (RG) (67 cases) and open appendectomy (48 cases) as the control group (CG). Read More

View Article

Download full-text PDF

Source

Acute right iliofemoral deep vein thrombosis mimicking acute appendicitis in the postpartum period: a case report.

Authors:
S Karaisli E Selcuk

Ann R Coll Surg Engl 2020 Jun 15:e1-e4. Epub 2020 Jun 15.

Bezmiâlem Vakif University Medical School, Istanbul, Turkey.

The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2020.0148DOI Listing

Acute Appendicitis: Clinical Clues and Conundrums Related to the Greatest Misses.

Cureus 2020 May 11;12(5):e8051. Epub 2020 May 11.

Surgery, Brandon Regional Hospital, Brandon, USA.

Introduction In the United States (US), appendicitis is the most common acute abdominal emergency requiring surgery. Patients with appendicitis continue to display a complex and atypical range of clinical manifestations, providing a subsequent high risk for emergency physicians to miss acute abdominal pathology on a patient's initial visits. Due to the risk of potential perforation, the proper and timely clinical identification of acute appendicitis is vital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286592PMC

Intra-abdominal Abscess After Appendectomy-Are Drains Necessary in All Patients?

J Surg Res 2020 Jun 11;254:384-389. Epub 2020 Jun 11.

Department of Surgery, Children's Mercy, Kansas City, Missouri; University of Missouri-Kansas City School of Medicine, Kansas City, Missouri. Electronic address:

Background: Research has shown that patients who develop a postoperative intra-abdominal abscess (PIAA) after appendectomy have a greater number of health care visits with drain placement. Our institution developed an algorithm to limit drain placement for only abscesses with a size >20 cm. We sought to determine the adherence to and effectiveness of this algorithm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2020.05.016DOI Listing