23,465 results match your criteria Appendicitis


The Alterations of Copper and Zinc Homeostasis in Acute Appendicitis and the Clinical Significance.

Biol Trace Elem Res 2019 Feb 15. Epub 2019 Feb 15.

Emergency Department of Shenzhen University General Hospital, Shenzhen, China.

Copper (Cu) and zinc (Zn) are involved in inflammatory process. This study was to investigate the clinical significance of Cu and Zn homeostasis alterations in acute appendicitis (AA). One hundred twenty-two AA patients and 102 healthy controls were enrolled in this study. Read More

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http://dx.doi.org/10.1007/s12011-019-01661-2DOI Listing
February 2019
1 Read

Does appendicitis in a child with a ventriculoperitoneal shunt necessitate shunt revision?

Arch Dis Child 2019 Feb 15. Epub 2019 Feb 15.

Department of Paediatrics, University of Oxford, Oxford, UK.

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http://dx.doi.org/10.1136/archdischild-2018-316265DOI Listing
February 2019

Risk Factors for Perforated Appendicitis in the Acute Care Surgery Era-Minimizing the Patient's Delayed Presentation Factor.

J Surg Res 2019 Feb 12;238:113-118. Epub 2019 Feb 12.

Division of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, Arizona.

Background: Numerous factors contribute to advanced disease or increased complications in patients with acute appendicitis (AA). This study aimed to identify risk factors associated with AA perforation, including the effect of system time (ST) delay, after controlling for patient time (PT) delay. In this study, PT was controlled (to less than or equal to 24 h) to better understand the effect of ST delay on AA perforation. Read More

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http://dx.doi.org/10.1016/j.jss.2019.01.031DOI Listing
February 2019

Readmission and reoperation rates following negative diagnostic laparoscopy for clinically suspected appendicitis: the "normal" appendix should not be removed - a retrospective cohort study.

Int J Surg 2019 Feb 12. Epub 2019 Feb 12.

Gastrounit - Surgical Division, Center for Surgical Research, Copenhagen University Hospital Hvidovre, Denmark; Institute of Clinical Medicine, University of Copenhagen, Denmark.

Background: In cases with clinically suspected appendicitis, there is controversy regarding the decision to remove a macroscopically normal appearing appendix during laparoscopy when no other intra-abdominal pathology is found. The aim of this study was to examine the rate of appendicitis, along with readmission and reoperation rates following diagnostic laparoscopy of clinically suspected appendicitis in patients where the appendix was not removed.

Methods: We performed a retrospective cohort analysis of patients who underwent a diagnostic laparoscopy due to clinical suspicion of appendicitis where no other pathology was found and the appendix was not removed. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.02.001DOI Listing
February 2019

Atraumatic splenic rupture secondary to appendicular perforation by cecal volvulus.

Cir Cir 2019 ;87(2):211-214

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

Atraumatic splenic rupture, an infrequent surgical emergency, constitutes a life-threatening situation. The lack of a traumatic background makes it difficult to suspect. We present a case of a 45-year-old woman, with history of bariatric surgery, referred to our emergency due to 3 weeks long abdominal and lumbar pain, in shock. Read More

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http://dx.doi.org/10.24875/CIRU.18000373DOI Listing
January 2019

Correction to: Appendicitis as a manifestation of colon cancer: should we image the colon after appendicectomy in patients over the age of 40 years?

Int J Colorectal Dis 2019 Feb 15. Epub 2019 Feb 15.

Birmingham Heartlands Hospital, Bordesley Green East, Birmingham, B9 5SS, UK.

The above article originally published with an error present in Table 1 and is now presented correctly in this article. Read More

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http://dx.doi.org/10.1007/s00384-019-03262-wDOI Listing
February 2019

Risk factors for intraabdominal abscess formation after laparoscopic appendectomy - results from the Pol-LA (Polish Laparoscopic Appendectomy) multicenter large cohort study.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 24;14(1):70-78. Epub 2018 Jul 24.

2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.

Introduction: According to meta-analyses laparoscopic appendectomy is associated with many benefits. However, in comparison to open surgery an increased rate of intraabdominal abscesses (IAA) has been reported. Identification of predictive factors for this complication may help to identify patients with higher risk of IAA. Read More

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http://dx.doi.org/10.5114/wiitm.2018.77272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372867PMC
January 2019

Knowledge gaps in the appendix: a multi-institutional study from seven academic centers.

Mod Pathol 2019 Feb 14. Epub 2019 Feb 14.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.

Appendix pathology represents uncommonly encountered specimens with unique diagnostic challenges. To delineate common knowledge gaps, extramural consults submitted to seven institutions between 2016-2017 were reviewed. All appendix consults were resections (100%, n = 43), and the majority were directed for consultation by the originating pathologist (95%, n = 41) with no additional studies performed by the consultant (65%, n = 28). Read More

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http://dx.doi.org/10.1038/s41379-019-0216-xDOI Listing
February 2019

[Gastric Neuroendocrine Carcinoma(NEC)Treated with CDDP plus CPT-11 Chemotherapy].

Gan To Kagaku Ryoho 2019 Jan;46(1):65-69

Dept. of Digestive Surgery, Saku Central Hospital Advanced Care Center.

A 69-year-old man with chronic gastritis, reflux esophagitis, esophageal hiatal hernia, and history of appendicitis surgery complained of difficulty swallowing. Upper gastrointestinal endoscopy revealed a 10 cm sized Type 3 gastric cancer. Immunostaining was positive for chromogranin A(2+), synaptophysin(3+), CD56(-), and Ki-67>70%. Read More

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January 2019
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Appendicectomy in older patients with acute appendicitis is not an indication for routine colonoscopy.

Int J Colorectal Dis 2019 Feb 14. Epub 2019 Feb 14.

Department of Accident and Emergency, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK.

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http://dx.doi.org/10.1007/s00384-019-03264-8DOI Listing
February 2019

Intestinal Function after Early Late Appendectomy in Children with Perforated Appendicitis.

Am Surg 2019 Jan;85(1):76-81

The aim was to prospectively document the impact of early late appendectomy on intestinal function in pediatric perforated appendicitis. After Institutional Review Board approval, between September 2016 and August 2017, complete data were prospectively collected for children undergoing planned appendectomy for perforated appendicitis. One hundred children with pathologist-confirmed transmural perforations were included. Read More

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January 2019

[Meta-analysis of delayed appendicectomy in uncomplicated appendicitis].

Chirurg 2019 Feb 13. Epub 2019 Feb 13.

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0903-7DOI Listing
February 2019

Safety of laparoscopic appendicectomy during pregnancy: a systematic review and meta-analysis.

ANZ J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Colorectal Surgery, Division of Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Background: Acute appendicitis is the most common non-obstetric surgical presentation during pregnancy. There were concerns that laparoscopic appendicectomy increases the risk of foetal loss compared to an open approach. Therefore, with recent advances in perioperative care, it is likely the risk has changed. Read More

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http://dx.doi.org/10.1111/ans.14963DOI Listing
February 2019

Vomiting and Dehydration in a 2-Year-Old.

Pediatrics 2019 Feb 12. Epub 2019 Feb 12.

Divisions of Emergency Medicine and.

A 2-year-old girl with a past medical history of cutaneous mastocytosis and eczema presented with 1 day of yellow-green, nonbloody vomiting, bradycardia, and listlessness. She was evaluated by her pediatrician and sent to the emergency department because of concern for dehydration. In the emergency department, she improved with fluid rehydration but still had decreased energy and bradycardia. Read More

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http://dx.doi.org/10.1542/peds.2018-0504DOI Listing
February 2019

Appendicitis.

Am J Dent Sci 1898 Mar;31(11):524

Cridersville, O.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6065789PMC

Monitoring Complications of Medically Managed Acute Appendicitis.

Am Surg 2018 Oct;84(10):1684-1690

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

Nonoperative management of acute appendicitis is becoming widespread, but recurrence and the potential for a complicated course are important concerns. An admission report-based institutional database was created to monitor appendicitis treatment outcomes. Complications and complexity of surgery were recorded based on manual chart review. Read More

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October 2018

First-Line Diagnostic Evaluation with MRI of Children Suspected of Having Acute Appendicitis.

Radiology 2019 Feb 12:181959. Epub 2019 Feb 12.

From the Departments of Medical Imaging (R.M., S.M.D., F.M., D.G., S.V., B.K., D.R.M., U.K.U.), Pediatrics (G.G.), and Pediatric Emergency Medicine (A.L.), University of Arizona College of Medicine, 1501 N Campbell Ave, Tucson, AZ 85724.

Background Advances in abdominal MRI have enabled rapid, free-breathing imaging without the need for intravenous or oral contrast material. The use of MRI as the primary imaging modality for suspected appendicitis has not been previously studied. Purpose To determine the diagnostic performance of MRI as the initial imaging modality in children suspected of having acute appendicitis. Read More

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http://dx.doi.org/10.1148/radiol.2019181959DOI Listing
February 2019
1 Read

Comparison of stump closure techniques during laparoscopic appendectomies for complicated appendicitis - results from Pol-LA (Polish laparoscopic appendectomy) multicenter large cohort study.

Acta Chir Belg 2019 Feb 12:1-8. Epub 2019 Feb 12.

a 2nd Department of General Surgery , Jagiellonian University Medical College , Kraków , Poland.

Background: In general, the three main options for stump closure in laparoscopic appendectomy are clips, endoscopic staplers and endoloops. However, there is no gold standard, especially regarding complicated acute appendicitis which is generally associated with worse outcomes.

Objectives: We aimed to assess the outcomes of different stump closure techniques during laparoscopic appendectomies for complicated appendicitis Methods: Our multicenter observational study of 18 surgical units assessed the outcomes of 1269 laparoscopic appendectomies for complicated appendicitis that used the three main stump closure techniques: clips, staplers and endoloops. Read More

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http://dx.doi.org/10.1080/00015458.2019.1573527DOI Listing
February 2019
1 Read

Do the stump knotting technique and specimen retrieval method effect morbidity in laparoscopic appendectomy?

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):34-38

Department of General Surgery, Dokuz Eylül University Faculty of Medicine, İzmir-Turkey.

Background: Stump closure is the most important part of a laparoscopic appendectomy (LA). Closing the appendix base with knot tying is the most cost-effective method. The defined risk factor for surgical site infection (SSI) after LA is the contamination of trocar entry area by inflamed appendicitis. Read More

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http://dx.doi.org/10.5505/tjtes.2018.90382DOI Listing
January 2019
0.379 Impact Factor

Is it beneficial to use clinical scoring systems for acute appendicitis in adults?

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):12-19

Department of General Surgery, Medical Park Fatih Hospital, İstanbul-Turkey.

Background: Clinical scoring systems have been used to reduce negative appendectomy rate for several decades. However, the use of these systems has been questioned due to differences in their diagnostic accuracies. The aim of this prospective study was to develop a new clinical scoring system using a combination of all previously described variables for the diagnosis of acute appendicitis (AA). Read More

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http://www.tjtes.org/eng/jvi.aspx?pdir=travma&plng=eng&a
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http://dx.doi.org/10.5505/tjtes.2018.22378DOI Listing
January 2019
1 Read

Perforated appendicitis in the setting of a massive ventral hernia, morbid obesity, and multiple severe comorbidities: challenges in acute management.

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

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http://dx.doi.org/10.1136/tsaco-2018-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347851PMC
January 2019
1 Read

Abscess and symptoms duration upon presentation should guide decision algorithms for early versus interval appendectomy in children.

Pediatr Neonatol 2019 Jan 19. Epub 2019 Jan 19.

Saint Louis University, United States; SSM Health Cardinal Glennon Children's Hospital, United States. Electronic address:

Background: To compare outcomes for complicated appendicitis treated with early versus interval appendectomy and to identify which patients would likely benefit from early appendectomy.

Methods: A retrospective review of complicated appendicitis was performed from 2010 to 2015. Patients were divided into early (EA) versus interval appendectomy (IA) groups. Read More

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http://dx.doi.org/10.1016/j.pedneo.2019.01.005DOI Listing
January 2019

Acute appendicitis - new diagnostic algorithm using RIPASA score and non-contrast Computeed Tomography Scan.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S12-S16

Nevill Hall Hospital, Brecon Road, Abergavenny NP7 7EG.

Objective: To compare the accuracy of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and modified Alvarado scores with that of non-contrast computed tomography scan and ultrasound of abdomen and pelvis.

Methods: The observational correlational study was conducted at Manipal Hospital, Bengaluru, India, from April 1, 2014, to April 30, 2016, and comprised patients aged 18-60 years presenting with right lower quadrant pain to the emergency department. Modified Alvarado, RIPASA scores and ultrasound of abdomen and pelvis with optional non-contrast computed tomography scan reports were collected. Read More

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February 2019
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Meta-analysis of peritoneal lavage in appendicectomy.

BJS Open 2019 Feb 29;3(1):24-30. Epub 2018 Nov 29.

Department of General Surgery John Radcliffe Hospital Oxford UK.

Background: The use of peritoneal lavage to prevent postoperative intra-abdominal abscess (IAA) after appendicectomy has been debated widely.

Methods: A systematic review and meta-analysis of suction alone lavage for appendicitis was performed to determine the relative benefit of lavage. Primary outcomes were postoperative IAA and wound infection (WI). Read More

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http://dx.doi.org/10.1002/bjs5.50118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354188PMC
February 2019

Commentary on the article "Luminal obstruction in uncomplicated appendicitis: detection with sonography and potential clinical implications".

J Clin Ultrasound 2019 Feb 7. Epub 2019 Feb 7.

Department of Radiology, Hospital Barmherzige Brüder, Salzburg, Austria.

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http://dx.doi.org/10.1002/jcu.22707DOI Listing
February 2019

Pathological changes in appendectomy specimens including the role of parasites: A retrospective study of 2400 cases of acute appendicitis.

Authors:
M Tayfur M G Balci

Niger J Clin Pract 2019 Feb;22(2):270-275

Department of Pathology, Erzincan University, Faculty of Medicine, Erzincan, Turkey.

Background: Parasitic infestation of the appendix is uncommon. Parasitic infections can cause inflammation in the appendix and can imitate acute appendicitis clinically. Enterobius vermicularis and Taenia species are among the most common parasitic agents causing acute appendicitis. Read More

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http://dx.doi.org/10.4103/njcp.njcp_271_18DOI Listing
February 2019
1 Read

Acute perforated appendicitis in adults: Management and complications in Lagos, Nigeria.

Ann Afr Med 2019 Jan-Mar;18(1):36-41

Department of Surgery, Faculty of Clinical Sciences, College of Medicine, General Surgery Unit, University of Lagos, Idi-Araba, Lagos, Nigeria.

Background: Acute perforation of the appendix is one of the complications of appendicitis that is associated with increased morbidity and mortality and hence regarded as a surgical emergency. Risk factors for perforated appencidicits include extremes of age, male sex, pregnancy, immunosuppression, comorbid medical conditions and previous abdominal surgery.

Objectives: This study focuses on the pattern of presentation, risk factors, morbidity and mortality of patients managed for perforated appendicitis in our centre. Read More

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http://dx.doi.org/10.4103/aam.aam_11_18DOI Listing
February 2019
1 Read

The diagnostic value of ischaemia-modified albumin in acute abdominal pain.

J Paediatr Child Health 2019 Feb 5. Epub 2019 Feb 5.

Department of Emergency Medicine, Ufuk University Faculty of Medicine, Ankara, Turkey.

Aim: The differential diagnosis of paediatric patients admitted to the emergency department presenting with acute abdominal pain may be difficult. This study aims to investigate the diagnostic value of ischaemia-modified albumin (IMA) in the differential diagnosis of acute abdominal pain in children and in distinguishing surgical from non-surgical cases.

Methods: The study was conducted with a total of 152 subjects who provided informed consent, including 112 patients admitted to the paediatric emergency department and paediatric surgical clinic and 40 healthy control subjects. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jpc.14394
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http://dx.doi.org/10.1111/jpc.14394DOI Listing
February 2019
2 Reads

The Impact of Pediatric Surgical Specialty Meetings: A 5-year Analysis of Presented Abstracts.

J Surg Res 2019 Feb 2;238:16-22. Epub 2019 Feb 2.

Yale School of Medicine, Department of Surgery, Section of Pediatric Surgery, New Haven, Connecticut. Electronic address:

Background: Abstracts presented at the American Academy of Pediatrics Section on Surgery (AAP) and American Pediatric Surgical Association (APSA) meetings can be taken as a reasonable representation of academic activity in pediatric surgery. We sought to assess ongoing trends in pediatric surgical research by analyzing the scientific content of each association's yearly meeting.

Methods: Abstracts presented at AAP and APSA between 2009 and 2013 were identified from the final printed programs (n = 910). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00224804183082
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http://dx.doi.org/10.1016/j.jss.2018.11.034DOI Listing
February 2019
2 Reads

Antibiotic Treatment and Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children: A Systematic Review and Meta-analysis.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

MINI: The present meta-analysis demonstrates that, although limited by a lower efficacy compared to surgery, NOM with antibiotics could be considered a safe option for adults and pediatric patients with uncomplicated appendicitis, as it is successful in almost 75% of cases, and does not statistically increase the perforation rate.

Objective: The aim of this meta-analysis was to summarize the current available evidence on nonoperative management (NOM) with antibiotics for uncomplicated appendicitis, both in adults and children.

Summary Background Data: Although earlier meta-analyses demonstrated that NOM with antibiotics may be an acceptable treatment strategy for patients with uncomplicated appendicitis, evidence is limited by conflicting results. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003225DOI Listing
January 2019

Enterobius vermicularis Appendiceal Colic.

J Laparoendosc Adv Surg Tech A 2019 Feb 5. Epub 2019 Feb 5.

2 Division of Pediatric Surgery, Children's National Health System, Washington, District of Columbia.

Enterobius vermicularis associated appendiceal colic and acute appendicitis are rarely encountered in the United States. The 9-year-old patient described in this case presented with right lower quadrant abdominal pain, nausea, and vomiting consistent with acute appendicitis and was brought to the operating room for an appendectomy. Intraoperatively a pinworm, E. Read More

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http://dx.doi.org/10.1089/lap.2018.0693DOI Listing
February 2019
1 Read

"-Omas" presenting as "-itis": acute inflammatory presentations of common gastrointestinal neoplasms.

Emerg Radiol 2019 Feb 4. Epub 2019 Feb 4.

Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.

Oncologic emergencies have a high rate of morbidity and mortality. This review covers several scenarios of gastrointestinal malignancies presenting emergently as various acute abdominal pathologies. Radiologists should be familiar with the typical imaging findings, clinical presentations, and laboratory values which may suggest a background neoplasm, particularly when encountered in the context of an acute inflammatory state. Read More

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http://dx.doi.org/10.1007/s10140-019-01678-zDOI Listing
February 2019
1 Read

Ultrasound-guided transverse abdominis plane block for ED appendicitis pain control.

Am J Emerg Med 2019 Jan 26. Epub 2019 Jan 26.

Department of Emergency Medicine/Alameda County Medical Center, Highland General Hospital, Oakland, CA 94602-1018, USA.

The ultrasound-guided transversus abdominis plane (TAP) block or TAP block is a well-established regional anesthetic block used by anesthesiologists for peri-operative pain control of the anterior abdominal wall. Multiple studies have demonstrated its utility to control pain for a range of procedures from inguinal hernia repair, laparoscopic cholecystectomies to cesarean sections [1-3]. There are no cases describing the efficacy of the ultrasound-guided TAP block in the emergency department as a part of a multimodal pain pathway for patients diagnosed with acute appendicitis. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.01.024DOI Listing
January 2019
1 Read

Incidentally discovered intestinal nonrotation at time of bariatric surgery: Which operation to perform?

Surg Obes Relat Dis 2019 Jan 11. Epub 2019 Jan 11.

Department of Surgery, Queen's University, Kingston, Ontario, Canada. Electronic address:

Background: An incidental finding of intestinal nonrotation at the time of bariatric surgery poses the following 2 dilemmas: (1) which operation to perform, and (2) whether an appendectomy should be performed concurrently.

Objectives: To review the experience of 2 Bariatric Centers of Excellence with laparoscopic sleeve gastrectomy (LSG) in patients with intestinal nonrotation, and to perform a systematic review of the literature on this topic.

Setting: Two Bariatric Centers of Excellence as designated by the Ontario Bariatric Network. Read More

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http://dx.doi.org/10.1016/j.soard.2018.12.036DOI Listing
January 2019
1 Read

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review.

BMC Surg 2019 Feb 4;19(1):17. Epub 2019 Feb 4.

Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Nanchang University, No. 1, mingde road, Nanchang, Jiang xi, China.

Background: Hepatic portal vein gas (HPVG) is a rare acute abdomen, which is not an independent disease. Meanwhile, HPVG combined with appendicitis has been rarely reported. We found only a similar report by looking for literature, but no intestinal necrosis occurred. Read More

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http://dx.doi.org/10.1186/s12893-019-0478-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360744PMC
February 2019
1 Read

Successful surgical management of non-perforating acute appendicitis with septic disseminated intravascular coagulation: A case report and review of the literature.

Int J Surg Case Rep 2019 Jan 29;55:103-106. Epub 2019 Jan 29.

Department of Gastroenterological Surgery, Hiroshima City Asa Citizens Hospital, Japan.

Introduction: Perforating appendicitis and abscess-forming appendicitis may cause septic disseminated intravascular coagulation (DIC). However, non-perforating acute appendicitis with septic DIC is extremely rare.

Presentation Of Case: A 67-year-old man was referred to our hospital one day after starting oral antibiotic treatment for acute appendicitis. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360458PMC
January 2019
1 Read

Letter to the Editor concerning: "the non-visualized appendix and secondary signs on ultrasound for pediatric appendicitis in the community hospital setting".

Pediatr Surg Int 2019 Feb 2. Epub 2019 Feb 2.

Department of Paediatric Surgery, Women's and Children's Hospital, 72 King William Street, North Adelaide, South Australia, 5006, Australia.

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http://dx.doi.org/10.1007/s00383-019-04446-9DOI Listing
February 2019

A clinical comparison of laparoscopic versus open appendectomy for the treatment of complicated appendicitis: historical cohort study.

Eur J Trauma Emerg Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of General Surgery, Kishiwada Tokushukai Hospital, 4-27-1 Kamoricho, Kishiwada, Osaka, 596-0042, Japan.

Background: Appendectomy is one of the most common operations. Laparoscopic appendectomy (LA) is considered first-line treatment, but the use of LA for treatment of complicated appendicitis remains controversial. Here, we performed a retrospective analysis to compare clinical outcomes between patients treated with LA and those who underwent open appendectomy (OA). Read More

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http://dx.doi.org/10.1007/s00068-019-01086-5DOI Listing
February 2019
1 Read

Polyarteritis nodosa presenting atypically as appendicitis and pyelonephritis in a single patient.

BMJ Case Rep 2019 Feb 1;12(2). Epub 2019 Feb 1.

Griffith University School of Medicine, Gold Coast, Queensland, Australia.

A 17-year-old man presented to the emergency department 10 days postlaparoscopic appendicectomy with ongoing lower abdominal pain. The pain was associated with fevers, chills, sweating and constipation. There were no other associated symptoms. Read More

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http://dx.doi.org/10.1136/bcr-2018-228072DOI Listing
February 2019
6 Reads

Perforation of the Meckel's diverticulum with a chicken bone: a case report and literature review.

Surg Case Rep 2019 Feb 1;5(1):15. Epub 2019 Feb 1.

Department of Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD, 4020, Australia.

Background: Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal (GI) tract. Most of the people remain asymptomatic during their lifetime, but some can develop complications such as inflammation, haemorrhage or obstruction. Perforation of Meckel's diverticulum is very rare, and we present a case of perforation by a chicken bone. Read More

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http://dx.doi.org/10.1186/s40792-019-0577-xDOI Listing
February 2019
5 Reads

Acute amoebic appendicitis: An unusual presentation of a usual infection.

Indian J Pathol Microbiol 2019 Jan-Mar;62(1):169-170

Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, New Delhi, India.

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http://dx.doi.org/10.4103/IJPM.IJPM_576_17DOI Listing
February 2019

Cecal lipoma with subclinical appendicitis: A case report.

World J Clin Cases 2019 Jan;7(2):209-214

Department of Pathology, E-Da Cancer Hospital, I-Shou University, Kaohsiung City 82445, Taiwan.

Background: Colonic lipomas are rare, slow-growing benign tumors. Colonic lipomas are generally asymptomatic and are found incidentally. Although cases of cecal lipoma have been sporadically reported in the literature, the disease has not been systematically reviewed. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i2.209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354092PMC
January 2019
1 Read

Comparison of clinical and histopathological features of patients who underwent incidental or emergency appendectomy.

World J Gastrointest Surg 2019 Jan;11(1):19-26

Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya 44280, Turkey.

Background: Incidental appendectomy can be defined as the removal of a clinically normal appendix during another surgical procedure unrelated to appendicitis or other appendicular diseases.

Aim: To compare the demographic, biochemical, and histopathological features of the patients who underwent incidental and standard appendectomy.

Methods: The demographic, biochemical, and histopathological data of 72 patients (Incidental App group) who underwent incidental appendectomy during living donor hepatectomy at our Liver Transplant Center between June 2009 and December 2016 were compared with data of 288 patients (Acute App group) who underwent appendectomy for presumed acute appendicitis. Read More

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http://dx.doi.org/10.4240/wjgs.v11.i1.19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354071PMC
January 2019
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[Status of diagnosis and management of acute appendicitis in 2017: a national multi-center retrospective study].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Jan;22(1):49-58

Department of General Surgery, Medical School of Nanjing University, Jinling Hospital, Jiangsu Nanjing 210002,

Objective: To analyze the current status of diagnosis and management of acute appendicitis (AA) in China.

Methods: Questionnaire survey was used to retrospectively collect data of hospitalized patients with AA from 43 medical centers nationwide in 2017 (Sort by number of cases provided: Jinling Hospital of Medical School of Nanjing University, The First Affiliated Hospital of Xinjiang Medical University, Lu'an People's Hospital, Tengzhou Central People's Hospital, Dalian Central Hospital, The Affiliated Hospital of Xuzhou Medical University, Dongying People's Hospital, Jinjiang Hospital of Traditional Chinese Medicine, Huangshan Shoukang Hospital, Xuyi People's Hospital, Nanjing Jiangbei People's Hospital, Lanzhou 940th Hospital of PLA, Heze Municipal Hospital, The First College of Clinical Medical Science of China Three Gorges University, Affiliated Jiujiang Hospital of Nanchang University, The Second People's Hospital of Hefei, Affiliated Central Hospital of Shandong Zaozhuang Mining Group, The Third People's Hospital of Kunshan City, Xuzhou First People's Hospital, The 81st Group Army Hospital of PLA, Linyi Central Hospital, The General Hospital of Huainan Eastern Hospital Group, The 908th Hospital of PLA, Liyang People's Hospital, The 901th Hospital of Joint Logistic Support Force, The Third Affiliated Hospital of Chongqing Medical University, The Fourth Hospital of Jilin University, Harbin Acheng District People's Hospital, The First Affiliated Hospital of Zhengzhou University, Nanjing Luhe People's Hospital, Taixing Municipal People's Hospital, Baotou Central Hospital, The Affiliated Hospital of Nantong University, Linyi People's Hospital, The 72st Group Army Hospital of PLA, Zaozhuang Municipal Hospital, People's Hospital of Dayu County, Taixing City Hospital of Traditional Chinese Medicine, Suzhou Municipal Hospital, Beijing Guang'anmen Hospital, Langxi County Hospital of Traditional Chinese Medicine, Nanyang Central Hospital, The Affiliated People's Hospital of Inner Mongolia Medical University).The diagnosis and management of AA were analyzed through unified summary. Read More

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January 2019
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[Looking back 2018--focused on surgical infection].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Jan;22(1):17-21

Department of General Surgery, Jinling Hospital, Nanjing Medical School of Nanjing University, Nanjing 210002, China.

The published clinical research in 2018 in surgical infection are changing current opinions in the management of acute appendicitis, antibiotics usage, resuscitation of septic shock, and choice of nutritional therapy in critically ill patients. In the management of uncomplicated acute appendicitis, antibiotic therapy can be successful in selected patients who wish to avoid surgery. Delayed primary wound closure can not reduce superficial surgical site infection rates compared to primary wound closure for complicated appendicitis. Read More

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January 2019
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Horseshoe appendix identified during laparoscopic appendectomy: A case report and literature review.

Medicine (Baltimore) 2019 Feb;98(5):e14104

Department of Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, South Korea.

Rationale: The horseshoe anomaly of the vermiform appendix is extremely rare. Preoperative confirmation of this anomaly is difficult; therefore, routine procedures, such as appendectomy, may become unexpectedly challenging when such anomalies are encountered during the surgical process.

Patient Concerns: A 33-year-old man presented with abdominal pain in the right lower abdomen owing to acute appendicitis confirmed via computed tomography. Read More

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http://dx.doi.org/10.1097/MD.0000000000014104DOI Listing
February 2019
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A Finding of Hepatic Abscess in a Teenager Presenting With Abdominal Pain.

Pediatr Emerg Care 2019 Feb;35(2):e34-e36

From the Department of Pediatric Emergency Medicine, Cooper University Hospital, Camden, NJ.

Pyogenic hepatic abscess is a rare infection, but it is an important diagnosis to consider because the current mortality is approximately 5%. We present a case of abdominal pain in a 16-year-old male patient whose presentation was initially concerning for appendicitis but was later diagnosed as having a pyogenic hepatic abscess. It is important to direct the patient to the proper treatment including source control with drainage and antibiotics to decrease morbidity and mortality. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001724DOI Listing
February 2019

Association of Appendicitis, Helicobacter Pylori Positive Gastritis and Thrombotic Thrombocytopenic Purpura in an Adolescent.

Am J Case Rep 2019 Jan 31;20:131-133. Epub 2019 Jan 31.

Department of Nephrology, University Hospital in Split, Split, Croatia.

BACKGROUND Thrombotic thrombocytopenic purpura (TTP) in children is a rare life-threatening syndrome, characterized by microangiopathic hemolytic anemia, thrombocytopenia with renal dysfunction, neurologic symptoms, and fever. TTP is usually caused by deficient activity of von Willebrand factor cleaving protease (ADAMTS13), due to either gene mutations or acquired via anti-ADAMTS13 autoantibodies. It can be triggered by bone marrow or solid organ transplantation, cardiothoracic-, abdominal-, and orthopedic surgeries, infections including very rarely Helicobacter pylori infection. Read More

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http://dx.doi.org/10.12659/AJCR.913129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364441PMC
January 2019
2 Reads

Perforation of Cecal Diverticulum after Appendectomy.

Authors:
Kesici Ugur

J Coll Physicians Surg Pak 2019 Feb;29(2):175-177

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

Solitary cecal diverticulum was first described by Potier in 1912. Although it is a rare condition, however, there is an increased prevalence in Asian populations. The cecal diverticula are usually asymptomatic, however, 10-20% of the cases become symptomatic due to complications. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.02.175DOI Listing
February 2019
1 Read