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Updates Surg 2020 May 30. Epub 2020 May 30.

Emergency General Surgery, St. Orsola University Hospital, Bologna, Italy.

Acute appendicitis is one of the main indications for urgent surgery representing a high-volume procedure worldwide. The current spending review in Italy (and not only in this country) affects the health service and warrants care regarding the use of different surgical devices. The aim of our study is to perform a cost evaluation, comparing the use of endoloops and staplers in complicated acute appendicitis (phlegmonous and gangrenous), taking into consideration the cost of the device in relation to the management of any associated postoperative complications. Read More

J Surg Res 2020 May 28;254:217-222. Epub 2020 May 28.

DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida.

Background: We sought to compare the effectiveness of narrow- versus broad-spectrum antibiotics (abx) in preventing infectious complications in adults with acute appendicitis treated with appendectomy.

Methods: In this post hoc analysis of a prospective multicenter observational study of appendicitis in adults (≥18 y) conducted from January 2017 to June 2018, we included only patients with simple appendicitis. Subjects were grouped based on receipt of broad-spectrum or narrow-spectrum abx before and/or after appendectomy. Read More

Ann Emerg Med 2020 May 26. Epub 2020 May 26.

Department of Pediatric Emergency Medicine, Nicklaus Children's Hospital, Miami, FL. Electronic address:

Study Objective: We determine whether an ondansetron prescription for pediatric patients with vomiting or gastroenteritis is associated with decreased return visits to the emergency department (ED), and whether alternate diagnoses are more frequent on return visits in patients prescribed ondansetron.

Methods: This is a retrospective cohort study of patients 6 months to 18 years of age, presenting to a pediatric ED or its affiliated urgent care centers between 2012 and 2017 with an International Classification of Diseases, Ninth Revision or International Statistical Classification of Diseases and Related Health Problems, 10th Revision diagnosis of gastroenteritis, gastritis, vomiting, or vomiting with diarrhea. Multivariate logistic regression analysis was used to measure the association between an ondansetron prescription and the odds of 72-hour return visits. Read More

BMC Emerg Med 2020 May 29;20(1):45. Epub 2020 May 29.

Department of Emergency Medicine, Kanta-Häme Central Hospital, Ahvenistontie 20, FI-13530, Hämeenlinna, Finland.

Background: Acute appendicitis is a global disease and a very common indication for emergency surgery worldwide. The need for hospital resources is therefore constantly high. The administration in Kanta-Häme Central Hospital, Southern Finland, called for an urgent reorganisation due to shortage of hospital beds at the department of general surgery. Read More

J Ayub Med Coll Abbottabad 2020 Jan- Mar;32(1):46-50

Department of Gastroenterology, Gujranwala Medical College, Gujranwala, Pakistan.

Background: Commonest surgical emergency presenting to emergency departments with abdominal pain is acute appendicitis. Thus, to enable quick and accurate diagnosis of the condition various scoring systems have been developed. Among these, Alvarado and its modified version (Modified Alvarado) are the commonest. Read More

J Ayub Med Coll Abbottabad 2020 Jan- Mar;32(1):38-41

Surgery Department, Khyber Teaching Hospital, Peshawar.

Background: The clinical diagnosis of acute appendicitis remains difficult despite the use of different scoring systems. A high rate of negative appendectomies is no longer acceptable. This study was aimed to compare RIPASA score and Alvarado score in Pakistani population for the diagnosis of acute appendicitis using histopathology as a gold standard. Read More

Cureus 2020 Apr 26;12(4):e7834. Epub 2020 Apr 26.

Internal Medicine, Lincoln Medical Center, New York City, USA.

Appendectomy is the gold standard of treatment for acute appendicitis; however, recent evidence suggests conservative management with intravenous antibiotics may provide similar outcomes and can be used as an alternative in selected patients. Performing appendectomy in acute appendicitis patients with 2019 novel Coronavirus Disease (COVID-19) is challenging, as it involves considerable operative risks for the patients and risks for health care professionals (HCPs) exposed to COVID-19. Medical management eliminates the morbidity and mortality associated with surgery but involves significant risks of treatment failures that, in turn, may lead to perforation, peritonitis, and death. Read More

Med J Malaysia 2020 May;75(3):316-321

Quest International University, Perak, Malaysia.

Introduction: Ultrasound is widely available, easy-to-use and less expensive than most other imaging methods. It is widely used as a non-invasive method to diagnose acute appendicitis; however, its efficiency still remains questionable, especially when compared to costlier and invasive methods such as computed tomography.

Methods: An exploratory review of past literatures on the usage of ultrasound technique in the diagnosis of acute appendicitis in adult patients, and the role of other imaging techniques were undertaken for the study. Read More

Surgery 2020 May 24. Epub 2020 May 24.

Department of Surgery, University of California, Irvine, Orange, CA. Electronic address:

Background: The number of geriatric patients is expected to grow 3-fold over the next 30 years, and as many as 50% of the surgeries done in the United States may occur in geriatric patients. Geriatric patients often have increased comorbidities and more often present in a delayed manner for acute appendicitis. The aim of this study was to evaluate outcomes between geriatric patients and younger patients undergoing appendectomy, hypothesizing that geriatric patients will have a higher risk of abscess and/or perforation, conversion to open surgery, postoperative intra-abdominal abscess, and 30-day readmission. Read More

J Trauma Acute Care Surg 2020 Jun;88(6):839-846

From the Department of Surgery (C.A.M., J.R.M., J.W.S., D.A.M.-A., M.R.H.), and Center for Health Outcomes and Policy (A.H.C.-N., B.L.H., M.P.G., J.W.S., M.R.H.), University of Michigan, Ann Arbor, Michigan.

Objective: The American Association for the Surgery of Trauma (AAST) developed an anatomic grading system to assess disease severity through increasing grades of inflammation. Severity grading can then be utilized in risk-adjustment and stratification of patient outcomes for clinical benchmarking. We sought to validate the AAST appendicitis grading system by examining the ability of AAST grade to predict clinical outcomes used for clinical benchmarking. Read More

World J Surg 2020 May 26. Epub 2020 May 26.

Department of General Surgery, Shaare Zedek Medical Centre, The Hebrew University School of Medicine, Jerusalem, Israel.

Background: As the novel coronavirus disease 19 (COVID-19) spreads, a decrease in the number of patients with acute appendicitis (AA) has been noted in our institutions. The aim of this study was to compare the incidence and severity of AA before and during the COVID-19 pandemic.

Methods: A retrospective cohort analysis was performed between December 2019 and April 2020 in the four high-volume centres that provide health care to the municipality of Jerusalem, Israel. Read More

Int J Surg 2020 May 22;79:138. Epub 2020 May 22.

Department of Surgery, University Campus Bio-Medico of Rome, Rome, Italy. Electronic address:

S D Med 2020 Apr;73(4):150-151

Surgical Institute, Sioux Falls, South Dakota.

Introduction: Schwannomas are benign neurogenic tumors that make up less than 1 percent of all gastrointestinal tumors. Schwannoma can occur along peripheral nerves anywhere throughout the body. Gastrointestinal schwannoma is relatively rare and most commonly occurs in the stomach, small intestine, and colon, respectively. Read More

PLoS One 2020 22;15(5):e0233470. Epub 2020 May 22.

Department of Anorectal Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Background: Although several previous studies have examined the association between the platelet to lymphocyte ratio (PLR) and acute appendicitis (AA), findings have been controversial. We aimed to systematically assess the available evidence to elucidate the overall relationship between the PLR and AA.

Methods: Pubmed and Embase databases were searched for all available published literature before August, 2019 by two independent investigators for observational studies reporting the association between the PLR and AA. Read More

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):389-395

Department of Biochemistry, Yıldırım Beyazıt University Faculty of Medicine, Ankara-Turkey.

Background: This study aims to investigate the role of thiol/disulfide homeostasis parameters in the diagnosis of acute appendicitis and to determine whether it is beneficial to use these parameters in combination with the modified Alvarado and RIPASA scoring systems.

Methods: This study was prospectively carried out on 265 patients who presented to the emergency department with the complaint of right lower quadrant pain between 01.07. Read More

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):384-388

Department of General Surgery, Universty of Health Sciences, İzmir Bozyaka Training and Research Hospital, İzmir-Turkey.

Background: In this study, we aimed to evaluate the superiority of intracorporeal sutures and Hem-o-lok clips about efficiency, reliability and cost.

Methods: We performed laparoscopic surgery for acute appendicitis in this study. Appendiceal stump was closed by Hem-o-lok clips (Group I) and intracorporeal knotting (Group II) in a randomized manner. Read More

Cureus 2020 Apr 17;12(4):e7716. Epub 2020 Apr 17.

Emergency Medicine, Jersey Shore University Medical Center, Neptune, USA.

Colonoscopy is a procedure that enables a physician (usually a gastroenterologist) to directly image and examine the entire colon. It has both diagnostic and therapeutic benefits with a relatively low morbidity rate. Complications have been well described in the literature. Read More

World J Gastrointest Surg 2020 Apr;12(4):129-137

Department of Paediatric Surgery, "ATTIKON" University General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 12462, Greece.

Complicated acute appendicitis (CAA) is a serious condition and carries significant morbidity in children. A strict diagnosis is challenging, as there are many lesions that mimic CAA. The management of CAA is still controversial. Read More

World J Emerg Surg 2020 May 18;15(1):34. Epub 2020 May 18.

Faculty of Medicine, Department of Biostatistics, Sakarya University, Sakarya, Turkey.

Background: Acute appendicitis is the most common non-gynecological emergency during pregnancy. The diagnosis of appendicitis during pregnancy is challenging due to changes in both physiological and laboratory variables. Guidelines suggest patients with suspected acute appendicitis should be stratified based on clinical scoring systems, to optimize the use of diagnostic imaging and prevent unnecessary surgery. Read More

Int J Surg Case Rep 2020 May 6;70:216-220. Epub 2020 May 6.

Department of General Surgery, Chaoyang Central Hospital, Chaoyang, China. Electronic address:

Introduction: Single-port laparoscopy has been used in any areas of surgery, including appendectomy, to reduce the operative stress and enhance postoperative recovery procedure. This paper introduces our attempt to perform single-port laparoscopic appendectomy using conventional laparoscoopic instruments and a needle-type grasping forceps (SLAN), which has dominant advantage in cosmetic appearance.

Methods: We report six pediatric patients who underwent SLAN for uncomplicated appendicitis from April to November 2019. Read More

Trauma Surg Acute Care Open 2020 6;5(1):e000466. Epub 2020 May 6.

Department of Surgery, Division of General Surgery, Stanford University School of Medicine, Stanford, California, USA.

JNMA J Nepal Med Assoc 2020 Apr 30;58(224):255-257. Epub 2020 Apr 30.

Department of Surgery, Kathmandu Model Hospital, Adwait Marg, Kathmandu, Nepal.

Fecalith is a concretion of dry compact feces or hard stony mass of faeces in the intestinal tract. Though appendicular fecoliths are commonly encountered, caecal fecoliths are rare entities. Fecoliths are amenable to conservative management with laxatives and enemas but surgical management prevents recurrence. Read More

Int J Surg Case Rep 2020 May 11;70:201-204. Epub 2020 May 11.

Department of Biomedical Science, College of Health Science (CHS), The University of Dodoma, P. O. Box 395, Dodoma, Tanzania. Electronic address:

Introduction: ColorectaI carcinoma is extremely rare in children and presents with a poor prognosis.

Presentation Of Case: The present report describes the case of a 14-year old male child who presented with complaints of general weakness and recurrent abdominal pain, caused by a mucinous adenocarcinoma of the transverse colon (Dukes stage which was inoperable.

Discussion: Mucinous histopathological type is the most common type with increased ability to invade the adjacent stromal tissue. Read More

Arch Pediatr 2020 May 11. Epub 2020 May 11.

Department of Pediatric Surgery, CHU d'Amiens-Picardie, Site Sud, 80054 Amiens, France. Electronic address:

Purpose: Acute appendicitis is one of the commonest surgical emergencies in pediatrics. Treatment usually consists of a combination of surgery and antibiotics. The present study was designed to assess compliance with our local antibiotic protocol and analyse the consequences of non-compliance. Read More

Ned Tijdschr Geneeskd 2020 May 14;164. Epub 2020 May 14.

Maasstad Ziekenhuis, afd. Chirurgie, Rotterdam.

In this clinical lesson we present two patient cases. A 66-year-old female patient with a clinical, biochemical and radiological suspicion of complex appendicitis. The patient undergoes an appendectomy and post-operative recovery is beset with complications. Read More

Ned Tijdschr Geneeskd 2020 May 14;164. Epub 2020 May 14.

Maasstad Ziekenhuis, afd. Chirurgie, Rotterdam.

Recently, the revised guideline 'Guideline for diagnostics and treatment of acute appendicitis' was published by the Dutch Surgical Society. A patient with limited clinical symptoms and low suspicion of appendicitis can be assessed again at a later time, during which ultrasound diagnostics can be repeated. Following an inconclusive ultrasound scan in children who possibly have appendicitis, it is no longer recommended to perform diagnostic laparoscopy; rather, MRI diagnostics are indicated. Read More

Colorectal Dis 2020 May 13. Epub 2020 May 13.

Department of Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.

Cureus 2020 Apr 10;12(4):e7617. Epub 2020 Apr 10.

Internal Medicine, Shaukat Khanum Memorial Hospital & Research Centre, Peshawar, PAK.

Metastatic disease is one of the few rare causes which can present with clinical and radiological features of acute appendicitis. In this article, we present a case of a 33-years-old man with known primary gastric malignancy undergoing adjuvant treatment, who presented with clinical peritonitis. Imaging findings revealed acute appendicitis and a sealed-off appendiceal perforation. Read More

Int J Surg 2020 May 6;79:1-5. Epub 2020 May 6.

Department of Colorectal and General Surgery, Glan Clwyd Hospital, Rhyl, UK.

Objectives: To determine the incidence of right-sided colon cancer in patients aged over 40 years with acute appendicitis.

Methods: We performed a systematic review in accordance with PRISMA statement standards. A search of electronic information sources was conducted to identify all studies reporting the incidence of right-sided colon cancer in patients aged over 40 years with acute appendicitis. Read More

Int J Surg 2020 May 5. Epub 2020 May 5.

Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. Electronic address:

Background: Approximately nine percent of all acute appendectomies are unintentionally performed on a normal appendix. Failure of treatment (negative appendectomy or missed appendicitis) is associated with higher morbidity and mortality when compared to appendectomy for uncomplicated appendicitis. The Laparoscopic APPendicitis (LAPP) score was developed in order to systematically evaluate the appendix for the presence of inflammation. Read More

J Visc Surg 2020 Apr 15. Epub 2020 Apr 15.

Service d'imagerie ostéo-articulaire, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.

The initial clinical presentation of coronavirus disease 2019 may be appendicular syndrome. An abdominal CT scan ruled out a diagnosis of appendicitis and a chest CT scan yielded a diagnosis of SARS-CoV-2 infection. CT scan is required before considering emergency surgery for acute appendicitis. Read More

J Infect Chemother 2020 May 5. Epub 2020 May 5.

Department of Laboratory Medicine, Hyogo Prefectural Kakogawa Medical Center, Kakogawa, Japan.

Acute inguinal lymphadenitis is usually caused by lower extremity infection and sexually transmitted diseases, such as chancroid, lymphogranuloma venereum, genital herpes, or syphilis. Yersinia pseudotuberculosis is a non-spore forming, pleomorphic, non-lactose fermenting Gram negative bacillus and a member of the family Enterobacteriaceae, which is associated with diarrheal diseases. It also causes mesenteric lymphadenitis at the terminal ileum, which can be clinically indistinguishable from acute appendicitis (pseudoappendicitis). Read More

Langenbecks Arch Surg 2020 May 9. Epub 2020 May 9.

Department of Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore, 544886, Singapore.

Purpose: COVID-19 greatly affected millions and affected the way we practice with heightened posture in the way we treat surgical patients. Surgical consensus guidelines are recommending caution in the use of laparoscopy for the theoretical possibility of viral transmission from aerosolization of tissue and peritoneal fluid during surgery. However, there has yet to be proof of COVID-19 being present in peritoneal fluid, justifying the consensus statements. Read More

Gan To Kagaku Ryoho 2020 Jan;47(1):126-128

Dept. of Digestive Surgery, Kohsei Chuo General Hospital.

The patient was a 26-year-old female who had undergone conservative treatment for acute appendicitis at another clinic and was referred to our hospital for interval appendectomy. We performed a single-incision laparoscopic appendectomy, and the patient was diagnosed with goblet cell carcinoid(GCC)based on the postoperative pathological examination. Since GCC is considered a high-grade tumor, we performed a laparoscopic ileocolic resection with D3 lymphadenectomy. Read More

Emerg Med Int 2020 25;2020:7306435. Epub 2020 Apr 25.

Department of Biostatistics, University of Hitit, Çorum 19040, Turkey.

Acute appendicitis is one of the most common emergency diseases in general surgery clinics. It is more common, especially between the ages of 10 and 30 years. Additionally, approximately 7% of the entire population is diagnosed with acute appendicitis at some time in their lives and requires surgery. Read More

Sisli Etfal Hastan Tip Bul 2019 3;53(4):433-436. Epub 2019 Dec 3.

Department of General Surgery, Medicana International Samsun Hospital, Samsun, Turkey.

Right colonic and cecal diverticulitis can mimic acute appendicitis. A 14-year-old, 105-kg boy presented at the emergency department with symptoms mimicking acute appendicitis. Surgery revealed a case of perforated solitary cecal diverticulitis. Read More

Gastroenterol Hepatol 2020 May 3. Epub 2020 May 3.

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Son Espases, Palma de Mallorca, España.

J Cancer Res Ther 2020 Jan-Mar;16(1):66-70

Department of Radio-Diagnosis, Army Hospital R&R, New Delhi, India.

Context: Burkitt's lymphoma (BL) is one of the fastest growing malignancies. It is the most common subtype of Non-Hodgkin's lymphoma in childhood. It has three major subtypes - endemic, sporadic, and immunodeficiency-associated types. Read More

J Visc Surg 2020 Apr 24. Epub 2020 Apr 24.

Department of Colorectal surgery, Beaujon Hospital, Paris University, AP-HP, 92110, Clichy, France. Electronic address:

The massive inflow of patients with COVID-19 requiring urgent care has overloaded hospitals in France and impacts the management of other patients. Deferring hospitalization and non-urgent surgeries has become a priority for surgeons today in order to relieve the health care system. It is obviously not simple to reduce emergency surgery without altering the quality of care or leading to a loss of chance for the patient. Read More

Am J Surg 2020 Apr 20. Epub 2020 Apr 20.

Swedish Medical Center, First Hill Campus, Department of Pediatrics, Pediatric Surgery 1101 Madison St #800, Seattle, WA, 98104, USA. Electronic address:

Background: Nurse-driven discharge pathways following pediatric appendectomies have proven effective in children's hospitals; studies in general hospital settings are lacking. Additionally, despite the central role of nursing in such pathways, nursing perspectives aren't investigated in the literature.

Methods: Data from all pediatric acute uncomplicated appendicitis patients who underwent laparoscopic appendectomy in the 12 months following institution of a nurse-driven discharge pathway (intervention, n = 67) were compared to those treated in the preceding year (control, n = 64). Read More

World J Emerg Surg 2020 May 1;15(1):30. Epub 2020 May 1.

Department of General Surgery, Singapore General Hospital, Singapore, Singapore.

Background: An objective algorithm for the management of suspected appendicitis guided by the Alvarado Score had previously been proposed. This algorithm was expected to reduce computed tomography (CT) utilization without compromising the negative appendectomy rate. This study attempts to validate the proposed algorithm in a randomized control trial. Read More

J Ultrasound 2020 Apr 30. Epub 2020 Apr 30.

Department of Radiology, Azienda Ospedaliero-Universitaria Careggi, Largo G.A, Brambilla 3, 50134, Florence, Italy.

De Garengeot's hernia is a rare condition defined by the herniation of the vermiform appendix within a femoral hernia sac. We report a case of an 80-year-old woman admitted to our emergency department complaining of pain in the right groin. This symptomatology, present for 2 days, increased in the following 12 h. Read More

Turk J Emerg Med 2020 Jan-Mar;20(1):1-11. Epub 2020 Jan 28.

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.

Point-of-care ultrasound (POCUS) is a focused examination, which is performed and interpreted at the bedside by the treating physician answering a specific clinical question. It is currently utilized as an essential adjunct to physical examination in many medical specialties. Recent advances in technology have made POCUS machines portable, affordable, and could be used with minimal training even by nonradiologists. Read More

2020 Apr 30. Epub 2020 Apr 30.

Service de chirurgie colorectale, pôle des maladies de l'appareil digestif, hôpital Beaujon, Assistance publique-hôpitaux de Paris (AP-HP), Université de Paris, 92110, Clichy, France.

The massive inflow of patients with COVID-19 requiring urgent care has overloaded hospitals in France and impacts the management of other patients. Deferring hospitalization and non-urgent surgeries has become a priority for surgeons today in order to relieve the health care system.It is obviously not simple to reduce emergency surgery without altering the quality of care or leading to a loss of chance for the patient. Read More

World J Emerg Med 2020 ;11(3):140-144

Brantford General Hospital, Brantford, ON, Canada.

Background: Ultrasound has the first line investigation role in the diagnosis of acute appendicitis in children. The purpose of this study was to perform a quality assessment review on the visualization rate of appendix on ultrasound in children in the community hospital setting.

Methods: A retrospective chart review of the abdominal ultrasound findings for the visualization of the appendix was performed on paediatric patients ranging from 5 to 18 years. Read More

Rozhl Chir 2020 ;99(3):131-135

Introduction: Abdominal emergencies occur in pregnant women with the rate of 1:500635 pregnancies. Such conditions usually develop from full health and worsen rapidly. Symptoms are often similar to those in physiological pregnancy (abdominal pain, vomiting, constipation). Read More

Praxis (Bern 1994) 2020 Apr;109(6):465-470

Abteilung für Viszeralchirurgie, Luzerner Kantonsspital, Luzern.

Can Uncomplicated Adult Appendicitis Also Be Treated Conservatively? For more than a century, appendectomy has been the first-line treatment for acute appendicitis. Despite modern imaging, it is not an easy disease to diagnose and is one of the most common emergency procedures worldwide. Conservative therapy for uncomplicated adult appendicitis is increasingly becoming the focus of discussion. Read More

Int J Surg Case Rep 2020 Apr 1;70:13-16. Epub 2020 Apr 1.

Department of Paediatric Surgery, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia. Electronic address:

Introduction: Epilopic appendagitis (EA) is an uncommon condition of abdominal pain caused by the local inflammation of the fat-filled peritoneal outpouchings due to torsion or thrombosis of its vessels leads to ischemia and gangrenous necrosis of the aappendages, as it can cause peritoneal irritation, acute ischemia, and fat necrosis.

Case Report: We present a case of epilopic appendagitis mimicking appendicitis of a 10 years old male, presented to the emergency department with severe right quadrant pain pointedly at the right lumbar area. Associated with constipation and nausea for once. Read More

Turk J Gastroenterol 2020 Mar;31(3):257-263

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

Background/aims: To determine the histopathological features of incidental appendectomy specimens obtained from living liver donors (LLDs) Materials and Methods: Between September 2005 and November 2018, 1910 LLDs underwent living donor hepatectomy at our institute. Incidental appendectomy together with living donor hepatectomy (LDH) was performed in 170 LLDs. The decision for incidental appendectomy was made by experienced gastrointestinal surgeons. Read More

J Med Life 2020 Jan-Mar;13(1):26-31

Department of Surgery, Naas General Hospital, Naas, Ireland.

In surgical practice, surgeons request CT scans to rule out acute appendicitis, even in young patients. We aimed to assess the feasibility of using a CT scan to reduce the rate of negative laparoscopies in patients younger than 40 with equivocal signs of acute appendicitis. Therefore, we conducted a retrospective observational study on the patients admitted with a provisional diagnosis of acute appendicitis. Read More