26,858 results match your criteria Appendicitis


WAYS TO IMPROVE THE RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ATYPICAL FORMS OF ACUTE APPENDICITIS.

Wiad Lek 2022 ;75(5 pt 1):1095-1099

BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE.

Objective: The aim: To search for new and improvement of known methods of diagnosis and surgical treatment of atypical forms of acute appendicitis.

Patients And Methods: Materials and methods: There were analyzed the results of diagnosis and surgical treatment of 852 patients with atypical course of acute appendicitis, which amounted to 25.3% of the total number of patients in this category. Read More

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January 2022

Development and Validation of a Clinical Prediction Model for Complicated Appendicitis in the Elderly.

Front Surg 2022 9;9:905075. Epub 2022 Jun 9.

General surgery department, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China.

Background: For elderly patients with mild clinical symptoms of uncomplicated appendicitis(UA), non-surgical treatment has been shown to be feasible, whereas emergency surgical treatment is recommended in elderly patients with complicated appendicitis(CA), but it is still challenging to accurately distinguish CA and UA before treatment. This study aimed to develop a predictive model to assist clinicians to quickly determine the type of acute appendicitis.

Methods: We retrospectively studied the clinical data of elderly patients with acute appendicitis who visited the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2012 to January 2022. Read More

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Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis.

Front Surg 2022 8;9:919744. Epub 2022 Jun 8.

Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital, University of Wuerzburg, Wuerzburg, Germany.

Introduction: Surgical site infections (SSIs) are one of the most common postoperative complications after appendectomy leading to recurrent surgery, prolonged hospital stay, and the use of antibiotics. Numerous studies and meta-analyses have been published on the effect of open versus conventional laparoscopic appendectomy (CLA) reporting faster postoperative recovery and less postoperative pain for CLA. A development from CLA has been the single-port appendectomy (SPA), associated with a better cosmesis but seemingly having a higher risk of wound infections. Read More

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Efficacy and Safety of LigaSure in Laparoscopic Sutureless Appendectomy.

Cureus 2022 May 5;14(5):e24764. Epub 2022 May 5.

Pediatric Surgery, King George's Medical University (KGMU), Lucknow, IND.

Background The closure of the appendiceal stump is a crucial step during an appendectomy. The purpose of this study is to evaluate the LigaSure Vessel Sealing System in laparoscopic appendectomy (LA) for sealing and dividing the base of the appendix. Material and methods Laparoscopic appendectomy was performed using the 5-mm LigaSure Vessel Sealer in 53 patients, and the mesoappendix along with the base of the appendix was divided by LigaSure. Read More

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Twisted Mesenteric Leiomyoma Mimicking Acute Appendicitis.

Cureus 2022 May 23;14(5):e25260. Epub 2022 May 23.

Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, MYS.

Leiomyoma is a benign tumor of smooth muscles and can essentially arise from any part of the body that contains smooth muscles. It is more commonly found in the uterus, while those from the gastrointestinal tract are rare. The spectrum of clinical presentation is rather wide, from a vague abdominal discomfort or acute abdomen mimicking more common diagnoses such as acute appendicitis or acute gastroenteritis to features of intestinal obstruction and gastrointestinal bleeding. Read More

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Mesenteric venous thrombosis in a pregnant woman at first trimester gestation: a case report.

J Surg Case Rep 2022 Jun 21;2022(6):rjac294. Epub 2022 Jun 21.

General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil.

Mesenteric vein thrombosis (MVT) in a pregnant patient is a rare condition that seems to be associated with the pregnancy pró-thrombotic state. This can lead to severe circumstances such as intestinal hemorrhagic ischemia, sepsis, abortion and death. Abdominal assessment is challenging due to the anatomical and physiological changes during pregnancy. Read More

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Acute appendicitis following the COVID-19 vaccine.

J Surg Case Rep 2022 Jun 22;2022(6):rjac295. Epub 2022 Jun 22.

Department of Surgery, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.

We report the case of a previously healthy 69-year-old female who developed appendicitis after receiving the third dose of the Pfizer-BioNTech Coronavirus Disease 2019 (COVID-19) vaccine; no other triggers were identified. We speculate that an association exists which may be mediated by colonic lymphoid hyperplasia, a condition that might be indicative of an enhanced immunological mucosal response to antigenic stimulation. As widespread vaccination coverage continues, it is crucial to monitor and accurately report the adverse reactions that may otherwise remain unidentified in vaccination trials. Read More

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The Friend Turned Foe: A Rare Presentation of Bilateral Empyema Secondary to the Perforated Appendix.

Int J Appl Basic Med Res 2022 Apr-Jun;12(2):140-143. Epub 2022 May 10.

Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Acute appendicitis is one of the most common surgical emergencies encountered. Although studies have reported a rise in the number of cases over the past decade in Western countries, appendicitis is comparatively lower in Asian countries, mainly due to the prevailing dietary habits. Acute appendicitis can further complicate as either appendicular abscess or an appendicular lump or culminate into peritonitis following gangrene/rupture. Read More

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Clinical Experience of Emergency Appendectomy under the COVID-19 Pandemic in a Single Institution in South Korea.

Medicina (Kaunas) 2022 Jun 9;58(6). Epub 2022 Jun 9.

Department of Surgery, College of Medicine, Inha University Hospital, Incheon 400-711, Korea.

: The COVID-19 pandemic has brought serious changes in healthcare systems worldwide, some of which have affected patients who need emergency surgery. Acute appendicitis is the most common surgical disease requiring emergency surgery. This study was performed to determine how the COVID-19 pandemic has changed the treatment of patients with acute appendicitis in South Korea. Read More

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Neurogenic Appendicitis: A Reappraisal of the Clinicopathological Features and Pathogenesis.

Diagnostics (Basel) 2022 Jun 3;12(6). Epub 2022 Jun 3.

Department of Internal Medicine, Faculty of Medicine, Sohag University, Sohag 82725, Egypt.

In 1921; Masson and Maresch first coined the term "neurogenic appendicitis (NA)" to describe "neuroma-like" lesions in the appendix. To date, our knowledge about NA is limited; therefore, we conducted a comprehensive analysis of the literature (1921 to 2020) to examine the clinicopathological features of NA. We also addressed the pathophysiology of acute abdominal pain and fibrosis in this entity. Read More

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Chronic Appendicitis Caused by a Perforating Fish Bone: Case Report and Brief Literature Review.

In Vivo 2022 Jul-Aug;36(4):1982-1985

Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan;

Background: Appendicitis caused by a foreign body is extremely rare. We report a case of chronic appendicitis caused by a perforating fish bone.

Case Report: The patient was a 50-year-old Japanese man. Read More

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Interval laparoscopic appendectomy after laparotomy drainage for acute appendicitis with abscess: A case report.

Int J Surg Case Rep 2022 Jun 18;96:107319. Epub 2022 Jun 18.

Department of Surgery, Hanyu General Hospital, Hanyushi Saitama 348-8505, Japan.

Introduction: Immediate appendectomy for acute appendicitis with abscess has a high frequency of ileocecal resection and postoperative complications compared with interval appendectomy after conservative treatment. The optimal approach to acute appendicitis with abscess remains controversial.

Presentation Of Case: A 69-year-old woman was referred to our hospital for abdominal pain. Read More

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Blood routine examination: a simple way for differential diagnosis of immunoglobulin A vasculitis with abdominal involvement and appendicitis in children.

Updates Surg 2022 Jun 23. Epub 2022 Jun 23.

Gastrointestinal Lab, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, 3333 Bin Sheng Road, Hangzhou, 310052, Zhejiang, People's Republic of China.

To explore the value of blood routine examination indexes in the differential diagnosis of immunoglobulin A vasculitis (IgAV) with abdominal involvement and appendicitis in children. Forty-seven patients with IgAV and abdominal involvement, 95 cases with appendicitis, and 48 healthy children were enrolled in this study. Demographic and laboratory data were retrospectively recorded from medical files. Read More

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Familial Mediterranean fever may mimic acute appendicitis in children.

Pediatr Surg Int 2022 Jun 23. Epub 2022 Jun 23.

Department of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden.

Acute appendicitis is the most common surgical emergency in children. Diagnosis and management are often straightforward. However, familial Mediterranean fever is an important condition to consider in the assessment of children with acute abdominal pain, particularly in children with an origin in eastern Mediterranean basin where the disease is common. Read More

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A challenging case of spontaneous idiopathic omental infarction in a trisomy 21 patient.

Ann Med Surg (Lond) 2022 Jun 13;78:103760. Epub 2022 May 13.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Background: Omental infarction (OI) is a rare cause of acute abdominal pain that is often missed out. Due to its non-specific presentation can mimic other commoner conditions such as acute appendicitis, acute diverticulitis, and tuberculosis abdomen.

Case Presentation: We present a 42-year-old gentleman with trisomy 21 presenting right iliac fossa pain. Read More

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Intestinal obstruction in a child with massive ascariasis and associated acute appendicitis: A case report.

Ann Med Surg (Lond) 2022 Jun 18;78:103808. Epub 2022 May 18.

Radiology Department, Mogadishu Somali Turkey, Recep Tayyip Erdogan Training and Research Hospital, Somalia.

Introduction And Importance: Ascaris lumbricoides is a parasitic roundworm that spread through feces-oral routes and is endemic in many nations with poor sanitation.

Case Presentation: We present a case of a 6-year-old boy who arrived in the emergency room with abdominal pain, constipation, and vomiting. Physical examination revealed abdominal distension, absence of bowel sounds, and abdominal tenderness. Read More

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Appendiceal mucinous adenocarcinoma masquerading as acute appendicitis.

Asian J Surg 2022 Jun 19. Epub 2022 Jun 19.

Department of General Surgery, Huangshan People's Hospital, Huangshan, Anhui Province, China. Electronic address:

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Contribution of ethical approach and effective communication to the correct diagnosis of acute appendicitis - a single center experience from a pragmatic perspective.

Authors:
Ş Tuna

Eur Rev Med Pharmacol Sci 2022 Jun;26(11):3911-3918

Department of Radiology, Adnan Menderes University, School of Medicine, Aydın, Turkey.

Objective: In this study, we reviewed the data of patients who presented to the Emergency Department with abdominal pain, underwent ultrasonography (USG) and computed tomography (CT), and were pathologically diagnosed with acute appendicitis and non-appendicitis. We aimed to emphasize the ethical importance of specifying a clinical diagnosis with its effect on radiologically correct diagnosis and patient management method.

Patients And Methods: A total of 1047 patients, 971 patients with acute appendicitis due to pathology, and 76 patients with non-acute appendicitis, who applied to the Emergency Department with acute abdominal pain, underwent ultrasound and/or CT of the whole abdomen were evaluated. Read More

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Characterising the background incidence rates of adverse events of special interest for covid-19 vaccines in eight countries: multinational network cohort study.

BMJ 2021 06 14;373:n1435. Epub 2021 Jun 14.

Centre for Statistics in Medicine, NDORMS, University of Oxford, Oxford, UK

Objective: To quantify the background incidence rates of 15 prespecified adverse events of special interest (AESIs) associated with covid-19 vaccines.

Design: Multinational network cohort study.

Setting: Electronic health records and health claims data from eight countries: Australia, France, Germany, Japan, the Netherlands, Spain, the United Kingdom, and the United States, mapped to a common data model. Read More

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Robotic operations in urgent general surgery: a systematic review.

J Robot Surg 2022 Jun 21. Epub 2022 Jun 21.

Department of General, Visceral and Oncologic Surgery, Wetzlar Hospital and Clinics, Forsthausstr. 1, 35578, Wetzlar, Germany.

Robotically assisted operations are the state of the art in laparoscopic general surgery. They are established predominantly for elective operations. Since laparoscopy is widely used in urgent general surgery, the significance of robotic assistance in urgent operations is of interest. Read More

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Development and Validation of a Differential Diagnosis Model for Acute Appendicitis and Henoch-Schonlein Purpura in Children.

Pediatr Allergy Immunol Pulmonol 2022 Jun;35(2):86-94

Department of General Surgery, Affiliated Children's Hospital of Nanchang University, Nanchang, China.

To study and develop a predictive model for the differential diagnosis of acute appendicitis (AA) and Henoch-Schonlein purpura (HSP) in children and to validate the model internally and externally. The complete data of AA and HSP cases were retrospectively analyzed and divided into internal and external verification groups. SPSS software was used for single-factor analysis and screening of independent variables, and R software was used for the development and verification of the diagnostic model. Read More

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Left-sided appendicitis in intestinal malrotation: a minimally invasive approach.

J Surg Case Rep 2022 Jun 16;2022(6):rjac274. Epub 2022 Jun 16.

Department of Surgery, University Hospital Limerick, Limerick, Ireland.

Intestinal malrotation is a rare clinical entity that occurs in 1/6000 live births. Acute appendicitis (AA) is commonly recognized clinically by migratory right iliac fossa pain. We present a rare case of AA in a patient with previously undiagnosed IM that posed a diagnostic challenge due to abnormal caecal location, which was managed by a laparoscopic approach. Read More

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Retrospective analysis of 9 cases of appendiceal mucocele in 3,071 cases of appendicitis.

Biomed Rep 2022 Jul 10;17(1):55. Epub 2022 May 10.

Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230000, P.R. China.

Appendiceal mucocele is a rare disease. Due to the lack of specific clinical symptoms, and the high misdiagnosis rate before operation, in the present study, the clinical data were assessed to determine a potential basis for the diagnosis and treatment of appendiceal mucocele. The clinical data of 3,071 patients with appendicitis admitted between January 2014 and July 2021, including 9 patients with appendiceal mucoceles were retrospectively analyzed. Read More

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Vermiform Appendix and the Potential for Missed Pathologies.

Cureus 2022 May 16;14(5):e25055. Epub 2022 May 16.

Pathology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, IND.

Introduction The appendix is considered an appendage of little value and is often treated disdainfully, be it as part of evolutionary process, on a grossing table, under a microscope or while archiving specimens and slides. It is only recently, with data indicating its importance in gut immunity and as the origin of pseudomyxoma, that its space in a human body appears vindicated. Aim Our aim was to screen the histopathologic spectrum of appendix lesions observed in our hospital for rare, incidental or clinico-radiologically uncertain lesions that would help emphasize a necessary seriousness in its sampling. Read More

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Acute respiratory distress syndrome due to sepsis caused by Bacteroides ovatus after acute appendicectomy.

Surg Case Rep 2022 Jun 20;8(1):115. Epub 2022 Jun 20.

Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara City, Tochigi, 329-2763, Japan.

Background: Appendicectomy is generally a minimally invasive surgery, after which postoperative complications such as acute respiratory distress syndrome (ARDS) are rare. We describe a case of ARDS due to sepsis caused by Bacteroides ovatus after appendicectomy.

Case Presentation: A man in his 60 s presented to our hospital with a chief complaint of right lower quadrant abdominal pain. Read More

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Appendectomy and future risk of microscopic colitis: a population-based case-control study in Sweden.

Clin Gastroenterol Hepatol 2022 Jun 15. Epub 2022 Jun 15.

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA; Department of Paediatrics, Örebro University Hospital, Sweden.

Background And Aims: Microscopic colitis (MC) is an inflammatory bowel disease and a common cause of chronic diarrhea. Appendectomy has been suggested to have immunomodulating effects in the colon, influencing the risk of gastrointestinal disease. The relationship between appendectomy and MC has only been sparsely studied. Read More

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The Sepsis Bundle Effect: An Evaluation of Culture Results and Utilization in Pediatric Appendicitis.

Am Surg 2022 Jun 17:31348221109495. Epub 2022 Jun 17.

Department of Pediatric Surgery, 14423Arkansas Children's Hospital, Little Rock, AR, USA.

Introduction: Sepsis prevention pathways, which often include blood and urine cultures, are common in children's hospitals. Fever and tachycardia, signs often seen in patients with appendicitis, frequently trigger these pathways. We hypothesized that cultures were frequently obtained in children with appendicitis. Read More

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Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members.

World J Emerg Surg 2022 Jun 16;17(1):34. Epub 2022 Jun 16.

Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital of Giessen, Rudolf-Buchheim-Strasse 7, 35392, Giessen, Germany.

Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. Read More

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Should We Perform Incidental Appendectomy in Trauma Patients Undergoing Laparotomy?

Am Surg 2022 Jun 15:31348221109458. Epub 2022 Jun 15.

Department of Surgery, 12343Texas Tech University Health Science Center, Lubbock, TX, USA.

Incidental appendectomy (IA) is sometimes performed in patients undergoing abdominal operations to prevent subsequent development of appendicitis. Patients who undergo laparotomy for major abdominal trauma are at high risk of developing dense adhesions, increasing the risk of future operations. Therefore, there is a potential benefit to IA for patients undergoing trauma laparotomy. Read More

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