25,727 results match your criteria Appendicitis

A Fast-track Pathway for Emergency General Surgery at an Academic Medical Center.

J Surg Res 2021 Jun 8;267:1-8. Epub 2021 Jun 8.

Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address:

Background: Fast Track Pathways (FTP) directed at reducing length of stay (LOS) and overall costs are being increasingly implemented for emergency surgeries. The purpose of this study is to evaluate implementation of a FTP for Emergency General Surgery (EGS) at an academic medical center (AMC).

Methods: The study included 165 patients at an AMC between 2016 and 2018 who underwent laparoscopic appendectomy (LA), laparoscopic cholecystectomy (LC), or laparoscopic inguinal hernia repair (LI). Read More

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Acute Appendicitis: Trends in Surgical Treatment.

Dtsch Arztebl Int 2021 Apr;118(14):244-249

Department of Surgery, Klinikum rechts der Isar, School of Medicine, Technical University of MunichMünchner Studienzentrum, Klinikum rechts der Isar, School of Medicine,Technical University ofMunichDepartment of Health Care Management, Institute of Technology and Management, TechnischeUniversität Berlin.

Background: Appendectomy is the gold standard for treatment of acute appendicitis. However, recent studies favor primary antibiotic therapy. The aim of this observational study was to explore changes in the numbers of operations for acute appendicitis in the period 2010-2017, paying special attention to disease severity. Read More

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Cost-effectiveness analysis of nonoperative management versus open and laparoscopic surgery for uncomplicated acute appendicitis in Colombia.

Cost Eff Resour Alloc 2021 Jun 10;19(1):34. Epub 2021 Jun 10.

Faculty of Health Sciences, Universidad Icesi, Calle 18 No. 122-135 Pance, 70000, Cali, Colombia.

Background: Traditionally, uncomplicated acute appendicitis (AA) has been treated with appendectomy. However, the surgical alternatives might carry out significant complications, impaired quality of life, and higher costs than nonoperative treatment. Consequently, it is necessary to evaluate the different therapeutic alternatives' cost-effectiveness in patients diagnosed with uncomplicated appendicitis. Read More

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Differential diagnosis of the association of gastrointestinal symptoms and ST segment elevation, in the absence of chest pain.

Oscar M P Jolobe

Am J Emerg Med 2021 Jun 4;49:137-141. Epub 2021 Jun 4.

British Medical Association, Flat 6 Souchay Court, 1 Clothorn Road, Manchester M20 6BR, United Kingdom. Electronic address:

This is a review of the underlying causes of the association of ST segment elevation and gastrointestinal symptoms such as abdominal pain, nausea, vomiting, and anorexia, in patients who do not have chest pain. The review was based on anecdotal reports in Googlescholar and Pubmed using the search terms, abdominal pain, nausea, vomiting, anorexia, ST elevation, myocardial infarction, and Takotsubo cardiomyopathy. Those patients who did not have acute myocardial infarction as the cause of the association of ST segment elevation and gastrointestinal symptoms were compared with counterparts with similar symptoms who had well authenticated acute myocardial infarction or Takotsubo cardiomyopathy as the underlying cause of ST segment elevation. Read More

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Diagnosis and management of acute appendicitis in 21 pediatric hematology and oncology patients at a tertiary care cancer center.

Sci Rep 2021 Jun 9;11(1):12170. Epub 2021 Jun 9.

Department of Pediatric Hematology and Oncology, St. Anna Children's Hospital, Medical University of Vienna, Kinderspitalgasse 6, 1090, Vienna, Austria.

Acute appendicitis is a rare gastrointestinal complication of anti-cancer chemotherapy and hematopoietic stem cell transplantation. Among a cohort of 2341 hemato-oncologic patients at a pediatric tertiary care cancer center, we identified 21 patients (0.9%) with 23 episodes of acute appendicitis, based on pathological imaging of the appendix and clinical findings. Read More

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Complicated acute appendicitis in pediatric patients with "empacho" and abdominal manipulation history: Case series.

Andes Pediatr 2021 Feb 24;92(1):86-92. Epub 2021 Feb 24.

Hospital Dr. Mario Catarino Rivas, San Pedro Sula, Honduras.

Introduction: According to Latin American popular culture, empacho is a gastrointestinal disease caused by ex cessive intake of cold or under-cooked food. Abdominal manipulation or sobada is one of the popular treatments used for empacho and consists of an abdominal massage, where the skin is rubbed and stretched, applying pressure on the abdomen.

Objectives: To characterize clinical evolution and complications secondary to diagnostic delay in pediatric patients with acute appendicitis, with history of empacho and abdominal manipulation. Read More

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February 2021

Open Appendicectomy under Spinal Anesthesia-A Valuable Alternative during COVID-19.

Surg J (N Y) 2021 Apr 3;7(2):e69-e72. Epub 2021 Jun 3.

Department of Colorectal Surgery, Milton Keynes University Hospital, Standing Way, Milton Keynes, United Kingdom.

 Concerns relating to coronavirus disease 2019 (COVID-19) and general anesthesia (GA) prompted our department to consider that open appendicectomy under spinal anesthesia (SA) avoids aerosolization from intubation and laparoscopy. While common in developing nations, it is unusual in the United Kingdom. We present the first United Kingdom case series and discuss its potential role during and after this pandemic. Read More

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Primary omental torsion diagnosed and treated laparoscopically: a case report.

J Surg Case Rep 2021 Jun 4;2021(6):rjab237. Epub 2021 Jun 4.

Department of Surgery, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minamiku, Okayama 702-8055, Japan.

Omental torsion, a rare cause of acute abdomen in children and adults, is difficult to correctly diagnose before surgery because it mimics the common causes of acute surgical abdomen. We present a case of greater omental torsion that was diagnosed by laparoscopy. A 37-year-old man presented with right lower abdominal pain and was suspected to have appendicitis. Read More

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Parasitic Appendicitis in 14.797 Cases: A Retrospective Cohort Study

Turkiye Parazitol Derg 2021 06;45(2):113-116

University of Health Sciences Turkey, Gazi Yaşargil Training and Research Hospital, Clinic of Pathology, Diyarbakır, Turkey

Objective: This study aimed to determine the frequency of in appendectomy specimens and evaluate the histopathological characteristics of adult and pediatric cases with infection.

Methods: Appendectomies examined from 1 January 2010, to 1 December 2020, were analysed retrospectively. Cases were divided into two groups: under 18 years (children) and 18 and over (adults). Read More

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The application of artificial intelligence methods to gene expression data for differentiation of uncomplicated and complicated appendicitis in children and adolescents - a proof of concept study.

BMC Pediatr 2021 Jun 8;21(1):268. Epub 2021 Jun 8.

Department of Pediatric Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Background: Genome wide gene expression analysis has revealed hints for independent immunological pathways underlying the pathophysiologies of phlegmonous (PA) and gangrenous appendicitis (GA). Methods of artificial intelligence (AI) have successfully been applied to routine laboratory and sonographic parameters for differentiation of the inflammatory manifestations. In this study we aimed to apply AI methods to gene expression data to provide evidence for feasibility. Read More

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A case report of a ruptured Meckel's diverticulum with ectopic gastric and pancreatic tissue with negative computed tomography.

Int J Surg Case Rep 2021 May 21;83:105994. Epub 2021 May 21.

Department of General Surgery, Beaumont, Health Farmington Hills, MI, USA.

Introduction: A Meckel's diverticulum is a rare but known cause of an acute abdomen and can often be confused for acute appendicitis on physical examination. It is caused by an incomplete closure of the omphalomesenteric duct. It is present in 2% of the population and only 2% of those patients are symptomatic. Read More

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Johan Forceps As a Knot Pusher for Extracorporeal Roeder Knot: An Inexpensive Alternative to an Endoloop Ligature in Laparoscopic Appendicectomy.

J Laparoendosc Adv Surg Tech A 2021 Jun 7. Epub 2021 Jun 7.

Department of General and Upper GI Surgery, Barnsley District General Hospital NHS Trust, South Yorkshire, United Kingdom.

Securing of the appendix stump is one of the key steps in performing laparoscopic appendicectomy (LA). This can be achieved by a variety of methods including endoloops, stapler, and clips. An alternative technique, previously described by authors, is the use of Johan forceps as a knot pusher, to deploy an extracorporeal Roeder knot at the base of appendix. Read More

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The uncharted severity of complications after appendectomy for acute appendicitis in children: results from 348 consecutive patients.

Updates Surg 2021 Jun 7. Epub 2021 Jun 7.

Department of Surgery, San Gerardo Hospital, Via Pergolesi 33, 20900, Monza, Italy.

Appendectomy is the most frequently performed emergent procedure in paediatric patients. However, there is a wide heterogeneity in outcome definitions and, conversely, a lack of information about complications' severity. This study aims to analyse the outcome of children operated for acute appendicitis, with reference to complications' severity grading. Read More

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Economic Burden of Major Diseases in China in 2013.

Front Public Health 2021 19;9:649624. Epub 2021 May 19.

Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, Kunming, China.

Studies on the economic burden of disease (EBD) can estimate the social benefits of preventing or curing disease. The majority of studies focus on the economic burden of a single or regional disease; however, holistic or national research is rare in China. Estimating the national EBD can provide evidence for policy makers. Read More

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Meckel's Diverticulum Strangulation.

Cureus 2021 May 3;13(5):e14817. Epub 2021 May 3.

Surgery, Southwest Healthcare System, Murrieta, USA.

Meckel's diverticulum is the most common congenital anomaly of the small intestine. It is a true diverticulum containing all layers of the intestinal wall and results from the incomplete resolution of the omphalomesenteric duct. The majority of the cases are asymptomatic; however, diagnostic challenges arise when it becomes inflamed, causes gastrointestinal hemorrhage, intestinal obstruction, or when it protrudes through a potential abdominal opening (Littre's hernia). Read More

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Internal Hernia as a Cause of Acute Abdomen in a Pediatric Patient.

Cureus 2021 May 2;13(5):e14799. Epub 2021 May 2.

Pediatric Emergency Medicine, Broward Health Medical Center, Fort Lauderdale, USA.

An acute abdomen is a complex case with multiple possible etiologies and requires the help of many different disciplines. We present the case of a two-year-old female who presented to the emergency department in acute distress, pale in complexion, and continuously guarding her abdomen. Physical examination revealed a distended, rigid abdomen with tenderness to palpation of the abdomen in all four quadrants. Read More

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National survey on the treatment of acute appendicitis in Spain during the initial period of the COVID-19 pandemic.

Cir Esp (Engl Ed) 2021 May 28. Epub 2021 May 28.

Servicio de Cirugía General, Hospital Regional Universitario Carlos Haya, Málaga, Sección de Trauma y Cirugía de Urgencias de la AEC, Spain.

Introduction: The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to analyze how the treatment of acute appendicitis has been affected.

Method: A national descriptive study was carried out by an online voluntary specific questionnaire with Google Drive™ distributed by email by the Spanish Association of Surgeons (AEC) to all affiliated surgeons currently working in Spain (5203), opened from April 14th to April 24th. Read More

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Left sided appendicitis - a surgical dilemma: Case report.

J Pak Med Assoc 2021 May;71(5):1483-1485

Department of East Surgical Ward, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.

Left-sided abdominal pain is an uncommon presentation of acute appendicitis. When a patient presents with this complaint, appendicitis can be difficult to diagnose, thus resulting in delayed definitive therapy and increased morbidity and mortality. In this report we discuss the case of a middle-aged man, who presented with left-sided abdominal pain, and was diagnosed to be suffering from acute appendicitis along with asymptomatic midgut malrotation. Read More

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Making it Complicated: Does Disparity in Access to Care Lead to More Perforated Appendicitis?

J Surg Res 2021 Jun 3;266:405-412. Epub 2021 Jun 3.

School of Medicine, University of Colorado, Colorado, USA; Department of Surgery, University of Colorado, Colorado, USA. Electronic address:

Introduction: Delays in obtaining care may lead to perforated appendicitis, increasing risk of morbidity and mortality. We previously explored the role of social determinants in patients undergoing cholecystectomy, finding that emergent presentation is associated with neighborhood Social Vulnerability Index (SVI). We hypothesize that social vulnerability is associated with increased incidence of perforated appendicitis. Read More

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Wiad Lek 2021 ;74(5):1277-1280


The authors have analyzed medical histories of two patients, treated in health care facilities of Kharkiv region from 2008 to 2020. These patients underwent urgent appendectomy, given the existing clinic of acute appendicitis. Morphological examination of the surgical material allowed us to diagnose adenocarcinoma in one case, and neuroendocrine tumor in combination with endometriosis in the other case. Read More

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Exposure to drinking water trihalomethanes and nitrate and the risk of brain tumours in young people.

Environ Res 2021 Jun 1:111392. Epub 2021 Jun 1.

ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.

Brain tumours (BTs) are one of the most frequent tumour types in young people. We explored the association between tap water, exposure to trihalomethanes (THM) and nitrate and neuroepithelial BT risk in young people. Analysis of tap water consumption were based on 321 cases and 919 appendicitis controls (10-24 years old) from 6 of the 14 participating countries in the international MOBI-Kids case-control study (2010-2016). Read More

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High-volume center analysis and systematic review of stump appendicitis: solving the pending issue.

Eur J Trauma Emerg Surg 2021 Jun 3. Epub 2021 Jun 3.

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

Purpose: Stump appendicitis (SA) is a rare long-term complication after laparoscopic appendectomy (LA) that can be associated with high morbidity due to delayed diagnosis. We aimed to determine the incidence, risk factors, diagnosis, and management of SA by reviewing our large cohort of LA and performing a systematic review of the literature.

Methods: We retrospectively reviewed data of all patients who developed SA after LA between 2006 and 2020. Read More

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Migration of intrauterine device caused asymptomatic acute appendicitis: A case report.

Clin Case Rep 2021 May 24;9(5):e04283. Epub 2021 May 24.

Department of Gynecology School of Medicine Hamadan University of Medical Sciences Hamadan Iran.

Missing of IUD is not always due to expulsion. If the patient is sure that it has not got expulsed, further investigations such as abdominal ultrasound and X-ray should be performed to look for the device before any device-related complications. Read More

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Neonatal Appendicitis Presenting as Bilious Emesis and Septic Shock.

Kans J Med 2021 21;14:130-132. Epub 2021 May 21.

Department of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS.

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[Acute appendicitis-Not only a clinical picture of childhood and adolescence].

Z Gerontol Geriatr 2021 Jun 3. Epub 2021 Jun 3.

Agaplesion Bethanien Krankenhaus Heidelberg, Rohrbacher Straße 149, 69126, Heidelberg, Deutschland.

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Eosinophilic appendicitis due to : a challenging differential diagnosis for clinicians.

BMJ Case Rep 2021 Jun 1;14(6). Epub 2021 Jun 1.

Department of Histopathology, Hospital Universitario de Móstoles, Móstoles, Madrid, Spain.

A 45-year-old man presents with 48-hour status of high temperature, cough and dyspnoea. In the context of pandemic, the patient is initially diagnosed with COVID-19 syndrome. Later, the laboratory and ultrasound study supported acute appendicitis diagnosis. Read More

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ICD-10 Transition Influences Trends in Perforated Appendix Admission Rate.

J Surg Res 2021 May 30;266:345-351. Epub 2021 May 30.

Surgical Outcomes Quality Improvement Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611; Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois 60611. Electronic address:

Background: This study sought to evaluate the influence of International Classification of Diseases, Tenth Revision (ICD-10) transition on Perforated Appendix Admission Rate (PAAR), which is a commonly used indicator representing access to care developed by Agency for Healthcare Research and Quality (AHRQ).

Materials And Methods: In this interrupted time series study of Pediatric Health Information System database from 2013 to 2018, we employed three study phases (pre-implementation, washout, and initial implementation) to evaluate the influence of ICD-10 transition on trends in PAAR. ICD-10 diagnosis codes suggested by AHRQ's specifications were used to identify perforated and simple appendicitis, and PAAR was estimated accordingly. Read More

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Impact of the first wave of the SARS-CoV-2/Covid-19 pandemic on digestive surgical activities: a Belgian National Survey.

Acta Chir Belg 2021 Jun 2:1-20. Epub 2021 Jun 2.

Department of Surgery, Antwerp Academic Hospital (UZA), Antwerp, Belgium.

Background: Belgium was one of the first European countries affected by the first wave of the Covid-19 epidemic after Italy and France and has the highest rate of Covid-19-related deaths. Very few studies have evaluated the impact of the pandemic on surgical activity on a large scale. The primary objective of this national survey was to evaluate the impact of the first wave of the Covid-19 pandemic on surgical activities (elective non-oncological and oncological) in Belgian hospitals. Read More

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The "misfortune" of being a COVID-19 negative patient during the coronavirus pandemic.

J BUON 2021 Mar-Apr;26(2):303-305

4th Department of Surgery, Medical School, University of Athens, "Attikon" University Hospital, Athens, Greece.

COVID-19 pandemic has obviously affected patients' behavior towards seeking medical help as well as physicians' decision in the management of emergencies. Our recent experience as surgeons at a COVID-19 referral hospital revealed cases which share an alerting characteristic: the delay in appropriate management. Unfortunately for COVID-19 negative patients a "coronacentric" health system has been adopted. Read More

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Endoscopic Retrograde Appendicitis Therapy for Treating Periappendiceal Abscess: First Human Case Report.

Am J Gastroenterol 2021 Jun;116(6):1119

Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

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