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Pan Afr Med J 2018 4;31:87. Epub 2018 Oct 4.

Service de Radiologie, Centre Hospitalier Provincial, Taounate, Maroc.

Primitive epiploic appendagites are a rare cause of acute abdomen. They often mimic acute appendicitis or diverticular sigmoiditis. Diagnosis is made during surgery. Read More

Surg Infect (Larchmt) 2019 Apr 20. Epub 2019 Apr 20.

Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

Sepsis is an uncommon occurrence after appendectomy, but the morbidity and mortality of patients who develop sepsis after appendectomy remains exceedingly high. The purpose of this study is to identify risk factors and adverse post-operative outcomes associated with sepsis after appendectomy in adults. The American College of Surgery National Surgical Quality Improvement Program participant user database was queried from 2012 to 2015. Read More

Cir Esp 2019 Apr 17. Epub 2019 Apr 17.

Departamento de Cirugía, Hospital Universitario Arnau de Vilanova, Universidad de Lérida, Lérida, España.

Introduction: Pain in the right iliac fossa (RIF) continues to pose diagnostic challenges. The objective of this study is the development of a RIF pain diagnosis model based on classification trees of type CHAID (Chi-Square Automatic Interaction Detection) and on an artificial neural network (ANN).

Methods: Prospective study of 252 patients who visited the hospital due to RIF pain. Read More

Int J Colorectal Dis 2019 Apr 19. Epub 2019 Apr 19.

Department of Visceral, Vascular and Endocrine Surgery, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.

Purpose: Appendectomy has been the gold standard for every form of appendicitis. In recent years, though, it has repeatedly been claimed that for acute uncomplicated appendicitis, antibiotic therapy can be an equivalent treatment. The aim of this meta-analysis was to determine if antibiotic therapy is a safe and effective alternative to appendectomy for acute uncomplicated appendicitis. Read More

Int J Surg Case Rep 2019 Apr 9;58:21-25. Epub 2019 Apr 9.

Deprtment of General Surgery, JSS Medical College and Hospital, Mysore, India. Electronic address:

Introduction: Appendiceal mucocele is a rare disease and has a clinical picture that resembles acute appendicitis. A correct diagnosis before surgery is very important for the selection of surgical technique(appendicectomy/colectomy)to avoid severe intraoperative and postoperative complications. The work has been reported in line with the SCARE criteria (Agha et al. Read More

J Surg Case Rep 2019 Apr 10;2019(4):rjz106. Epub 2019 Apr 10.

PGY4 Resident General Surgery at PUCE, Quito-Ecuador.

Bowel perforation due to inadvertent ingestion of foreign objects is, fortunately, a rare event. However, it can lead to deadly complications when it occurs. Thin, sharp and pointed objects like toothpicks are more likely to pierce the bowel wall. Read More

EGEMS (Wash DC) 2019 Apr 12;7(1):15. Epub 2019 Apr 12.

Children's MN, Department of Pediatric Emergency Medicine, Minneapolis, Minnesota, US.

Background: Appendicitis is a common surgical emergency in children, yet diagnosis can be challenging. An electronic health record (EHR) based, clinical decision support (CDS) system called Appy CDS was designed to help guide management of pediatric patients with acute abdominal pain within the Health Care Systems Research Network (HCSRN).

Objectives: To describe the development and implementation of a clinical decision support tool (Appy CDS) built independently but synergistically at two large HCSRN affiliated health systems using well-established platforms, and to assess the tool's Triage component, aiming to identify pediatric patients at increased risk for appendicitis. Read More

ANZ J Surg 2019 Apr 15. Epub 2019 Apr 15.

Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.

Background: Few large Australian studies have explored the impact of acute surgical unit (ASU) model in appendicitis.

Methods: An ASU model commenced practice at our institution on 1 August 2012. In this retrospective cohort study, patients undergoing appendicectomy 2. Read More

ANZ J Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Paediatric Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.

Background: 'Fast-track' surgery protocols aim to standardize and rationalize post-operative care, with evidence of safety and efficacy in both uncomplicated and complicated childhood appendicitis. Generalization for broader adoption has been limited by variation in protocol design, including specific antibiotic choice, discharge criteria, post-operative monitoring and patient selection.

Methods: A systematic review of the literature was performed to evaluate the current evidence underpinning fast-track protocols for childhood appendicitis and identify areas of consensus and controversy. Read More

Eur J Radiol Open 2019 4;6:136-138. Epub 2019 Apr 4.

Department of Radiology, McMaster University, Hamilton, Ontario, Canada.

Fecalomas are masses of hardened feces that become impacted and accumulate. They are much harder in consistency than fecal impaction due to the associated coprostasis and are typically found in the sigmoid colon or rectum. Cecal fecalomas are much rarer. Read More

J Clin Lab Anal 2019 Apr 15:e22895. Epub 2019 Apr 15.

Department of Colorectal Surgery, University of Hallym College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.

Background: Delta neutrophil index (DNI) is the fraction of circulating immature granulocytes provided by a routine, complete blood cell analyzer. It is known to be a useful prognostic marker of sepsis. The aim of this study was to evaluate the role of DNI in the diagnosis and prognosis of patients who had undergone emergent surgery for an acute abdomen. Read More

J Infect Chemother 2019 Apr 11. Epub 2019 Apr 11.

Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences, Japan.

Purpose: Controversy exists over whether bacterial flora within the appendix differs between patients with and without appendicitis. To examine these potential differences, we cultured the appendiceal luminal microbiota of patients with and without acute appendicitis, and identified the bacterial species therein.

Methods: Fifty-seven patients with acute appendicitis and 37 patients without acute appendicitis who underwent curative resection of colorectal cancer and prophylactic appendectomies (control group) were included. Read More

Int J Surg Case Rep 2019 Apr 5;57:201-204. Epub 2019 Apr 5.

University of Duhok, College of Medicine, Department of Surgery, Duhok city, Kurdistan Region, Iraq.

Introduction: Ingestion of foreign bodies and their impaction at the lumen of the appendix is a very rare finding and only few cases have been reported all over the world. A variety of metallic foreign bodies when ingested may be lodged in the lumen of the appendix such as screws, bird shots, and needles. This is called in most literatures as foreign body appendicitis. Read More

AJR Am J Roentgenol 2019 Apr 11:1-9. Epub 2019 Apr 11.

1 Department of Radiology, Saitama Children's Medical Center, Japan.

Objective: The purpose of this study is to evaluate the association between sonographic findings and the operative time of transumbilical laparoscopic-assisted appendectomy (TULAA) for appendicitis in children.

Materials And Methods: We included 131 children who underwent ultrasound within 24 hours before TULAA. We evaluated the associations between operative time and patients' demographics, as well as the following sonographic findings: maximum outer wall diameter of the appendix, appendicolith, ascites (not echogenic), echogenic ascites, abscess formation, increased intraabdominal fat echo in the right lower quadrant (RLQ; 3-point scale), and the location of the appendix (three locations). Read More

Rev Bras Ginecol Obstet 2019 Apr 10. Epub 2019 Apr 10.

Instituto da Circulação, Curitiba, PR, Brazil.

Heterotopic pregnancy (HP) is defined as the simultaneous development of an intra- and an extra uterine gestation. The occurrence of a spontaneous triplet HP is an exceptionally rare medical condition. We report the case of a young woman with spontaneous heterotopic triplets at 8 weeks of gestation, with a misdiagnosis of topic twins and acute appendicitis. Read More

Surg Case Rep 2019 Apr 8;5(1):55. Epub 2019 Apr 8.

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki city, Nagasaki, 852-8501, Japan.

Background: Schistosomiasis is prevalent in tropical and subtropical areas and rarely reported in developed countries. Schistosomiasis often occurs as a chronic illness, which can cause liver and intestinal damage. Appendicitis is an unusual complication of schistosomiasis. Read More

Pediatr Med Chir 2019 Apr 2;41(1). Epub 2019 Apr 2.

Department of Pediatric Surgery, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna.

Our aim was to develop an APpendictis-PEdiatric score (APPE score) in quantifying risk of acute appendicitis based on combination of clinical and laboratory markers. 1025 patients were classified in: acute appendicitis (AA) and non-appendicitis. Demographic/clinical features, and laboratory were collected. Read More

BMJ Case Rep 2019 Apr 5;12(4). Epub 2019 Apr 5.

Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK.

Our case describes a pregnant woman with acute appendicitis who presented in the third trimester and underwent a laparoscopic appendicectomy. She made a rapid postoperative recovery and the pregnancy was otherwise uncomplicated, ending with a spontaneous vaginal birth at 41 weeks. The diagnosis of acute appendicitis can be unclear in pregnancy. Read More

Abdom Radiol (NY) 2019 Apr 4. Epub 2019 Apr 4.

Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Avenue, Box 0628, San Francisco, CA, 94131, USA.

Purpose: The objectives of this study was to assess the performance of ultrasound (US) for suspected appendicitis in adult patients and to evaluated the additive value of short-interval (within 1 week) computed tomography (CT) or Magnetic Resonance Imaging (MRI) after performing an initial US.

Methods: In this IRB-approved, HIPAA-compliant, retrospective study, electronic medical records (EMRs) were queried for "US appendicitis" performed over a 2-year interval. EMR was reviewed for CT or MRI performed within 1 week of this exam, and if any new or additional information was available at subsequent exam. Read More

J Surg Case Rep 2019 Mar 29;2019(3):rjz086. Epub 2019 Mar 29.

Department of General Surgery, University Hospital Center of Oporto, Oporto, Portugal.

Incidental appendiceal neuroendocrine tumors (ANETs) occur in 0.2-0.7% of surgical resections for suspected appendicitis (Moris, Tsilimigras, Vagios, Ntanasis-stathopoulos, Karachaliou, Papalampros, Neuroendocrine neoplasms of the appendix: a review of the literature. Read More

Gastroenterol Hepatol Bed Bench 2019 ;12(1):74-75

Ankara Numune Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey.

Chronic diarrhea is defined as diarrhea that lasts longer than four weeks. Etiology of chronic diarrhea includes inflammatory bowel disease, malabsorption syndromes, irritable bowel disease, chronic parasitic infections, bacterial toxins, drugs and motility disorders. Plastron appendicitis is an abscess formation that occurs when the appendix is surrounded by the omentum following perforation of acute appendicitis. Read More

Ned Tijdschr Geneeskd 2019 Mar 21;163. Epub 2019 Mar 21.

Noordwest Ziekenhuisgroep, locatie Alkmaar, afd. Heelkunde.

A 63-year-old man with a history of orthotopic liver transplantation was presented to the emergency department with progressive right flank pain and nausea. On physical examination, we found a hernia cicatricalis that was painful on palpation. An abdominal CT scan showed acute perforated appendicitis, located in a hernia cicatricalis. Read More

Khirurgiia (Mosk) 2019 (3):88-97

Vishnevsky National medical research center of surgery of Ministry of Health of Russia, Moscow, Russia.

In the following article, we present the key trends in emergency surgical care in the Russian Federation between 2000 and 2017. The study used data from federal statistical observations and a survey of state medical institutions in 80 regions encompassing 99.3% of the country's population. Read More

Turkiye Parazitol Derg 2019 Mar;43(1):21-25

Adıyaman University Faculty of Medicine, Department of Pediatric Surgery, Adıyaman, Turkey

Objective: To evaluate the histopathological findings in appendectomy materials with infection.

Methods: Appendectomy materials with infection of 24 cases were evaluated for the presence of acute inflammation, congestion, hemorrhage, perforation, lymphoid hyperplasia (LH), necrosis, granuloma, fecalith, obliteration, hyalinization, eosinophilic infiltration and mucosal architectural distortion.

Results: The frequency of among 3222 appendectomies that were scanned for the study was 0. Read More

Langenbecks Arch Surg 2019 Mar 30. Epub 2019 Mar 30.

St Louis University, St Louis, MO, 63104, USA.

Langenbecks Arch Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital Giessen, Giessen, Germany.

Purpose: Social media, especially Twitter®, is becoming increasingly important for medical topics. Systematic analyses of the content of these tweets are rare. To date, no analysis of the reception of antibiotic/non-operative-treated acute appendicitis on Twitter® has been performed. Read More

J Surg Res 2019 Mar 25;240:97-103. Epub 2019 Mar 25.

Division of Pediatric Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Pediatric Surgery, Children's Health, Dallas, Texas. Electronic address:

Background: Diagnostic imaging in pediatric appendicitis may decrease rates of negative appendectomy and identify alternate pathologies. We compared imaging practices for children transferred from nonpediatric facilities versus directly admitted to our tertiary children's hospital for laparoscopic appendectomy, and assessed the diagnostic accuracy in each population based on final pathologic diagnosis.

Materials And Methods: After institutional review board approval, all cases of laparoscopic appendectomy at our children's hospital during 2015 were reviewed. Read More

Medicine (Baltimore) 2019 Mar;98(13):e15006

Department of Pediatrics, Integrated Traditional Chinese and Western Medicine, Tianjin Nankai Hospital.

Rationale: Acute appendicitis is one of the most common causes of acute abdomen in children, yet it is difficult to diagnose in young children because its clinical manifestations may be atypical. Here, 3 atypical clinical cases associated with appendicitis in children are reported.

Patient Concern: The 1st case corresponds to a 5-year-old male patient who presented with abdominal discomfort, intermittent fevers, and vomiting, have increased white blood cell (WBC) count and C-reactive protein (CRP). Read More

Case Rep Surg 2019 21;2019:6091515. Epub 2019 Feb 21.

University of Maryland Community Medical Group, Surgical Care, 500 Cadmus Lane, Easton, MD 21601, USA.

Background: Gastrointestinal stromal tumor (GIST) is an uncommon tumor of the GI tract usually seen in elderly patients, often difficult to diagnose because of the unspecific symptoms such as abdominal pain and fullness. Recurrent GIST may have an even more obscure clinical presentation.

Case Report: A 44-year-old female with a history of surgically treated GIST presented to the emergency room complaining of acute onset sharp RLQ pain, nausea, and vomiting. Read More

Mediators Inflamm 2019 21;2019:2359681. Epub 2019 Feb 21.

Department of Microbiology, Immunology and Infectious Diseases, Cumming School of Medicine, University of Calgary, Calgary AB, Canada.

Objectives: We aimed to demonstrate the potential of precision medicine to describe the inflammatory landscape present in children with suspected appendicitis. Our primary objective was to determine levels of seven inflammatory protein mediators previously associated with intra-abdominal inflammation (C-reactive protein-CRP, procalcitonin-PCT, interleukin-6 (IL), IL-8, IL-10, monocyte chemoattractant protein-1-MCP-1, and serum amyloid A-SAA) in a cohort of children with suspected appendicitis. Subsequently, using a multiplex proteomics approach, we examined an expansive array of novel candidate cytokine and chemokines within this population. Read More

Cureus 2019 Jan 16;11(1):e3894. Epub 2019 Jan 16.

Surgery, Hôpital Maisonneuve-Rosemont, Montréal, CAN.

Appendiceal neoplasms account for 1% of appendectomy specimens. Common subtypes include mucinous cystadenoma, adenocarcinoma, and neuroendocrine tumors (NETs). The simultaneous presence of appendicular mucinous and NETs is a rare event. Read More

J Surg Case Rep 2019 Mar 21;2019(3):rjz079. Epub 2019 Mar 21.

Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain.

Laparoscopy has gained importance in the abdominal emergency surgery field. Acute appendicitis is one of the major indications for emergency surgery, being laparoscopy the gold standard approach. We report a case of a 39-years-old female presenting with acute kidney injury (AKI) after laparoscopy. Read More

Ann Transplant 2019 Mar 26;24:168-173. Epub 2019 Mar 26.

Transplant Research Center, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

BACKGROUND Clinical characteristics of acute appendicitis in kidney transplant recipients may be different from those in the general population due to kidney transplant recipient's immunosuppressive state and position change of appendix caused by graft. MATERIAL AND METHODS Clinical characteristics of 10 cases of acute appendicitis among 2880 cases of kidney transplantation were evaluated, including diagnostic rate, location of appendix and complication in kidney transplant recipients. RESULTS Acute appendicitis was suspected in 9 of 10 patients (90%) with acute appendicitis based on clinical and laboratory findings. Read More

Taiwan J Obstet Gynecol 2019 Mar;58(2):177-182

R.G.Kar Medical College and Hospital, India.

Pregnancy can be complicated with different surgical emergencies which may potentially endanger the mother as well as foetus. In the modern era of advanced diagnostics and treatments, neither of them in response to a surgical emergency in a pregnant woman should be delayed. Appropriate early intervention is essential to decrease the morbidity and mortality. Read More

J Trauma Acute Care Surg 2019 Mar 22. Epub 2019 Mar 22.

Weill Cornell Medicine, New York,

Background: Acute appendicitis (AA) has been considered one of the most common acute surgical conditions in the world. Recent studies, however, have suggested that non-operative management (NOM) with a course of antibiotics (ABX) may be as effective as surgery in treating appendicitis. As there are evolving perspectives regarding the optimal therapy for appendicitis, we sought to provide recommendations regarding the role of NOM with the administration of antibiotics (antibiotics-first approach) in uncomplicated AA as well as the need for routine interval appendectomy (RIA) in those presenting with appendiceal abscess or phlegmon (AAP) initially managed without appendectomy. Read More

Surgery 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Surgery, Veterans Affairs Greater Los Angeles Healthcare System, CA.

Background: National, procedure-specific clinical registries are increasingly available in surgery, although data about children have lagged behind. Data related to the surgical management of appendicitis in children have become available recently and can be used to inform patient and family expectations and to identify clinical areas in need of ongoing improvement.

Methods: Cases of acute, uncomplicated appendicitis in children (<18 years of age) were extracted from the 2017 pediatric appendectomy-targeted file of the American College of Surgeons National Surgical Quality Improvement Program. Read More

J Pediatr Surg 2019 Mar 7. Epub 2019 Mar 7.

Beaumont Children's, Royal Oak, MI; Oakland University William Beaumont School of Medicine, Rochester, MI.

Purpose: To examine what proportion of caregivers, if given a choice, would choose medical versus surgical treatment of appendicitis and what factors would be important in their decision.

Methods: A survey was devised and given to the caregivers of children presenting to the pediatrician for a routine visit in community and academic pediatric clinics. The survey presented a summary of outcomes after medical (non-operative) and surgical treatment of uncomplicated appendicitis. Read More

Clin Case Rep 2019 Mar 6;7(3):520-523. Epub 2019 Feb 6.

Faculty of Medicine, Department of Pediatrics Lorestan University of Medical Sciences Khorramabad Iran.

Appendicitis is a worm-like appendage whose base is located on the posterior side of the inner cecum. Acute appendicitis is uncommon in children younger than 5 years old. The patient was a 1. Read More

J Magn Reson Imaging 2019 Mar 20. Epub 2019 Mar 20.

BerbeeWalsh Department of Emergency Medicine, University of Wisconsin - Madison, Madison, Wisconsin, USA.

Background: Computed tomography (CT) is commonly used in the Emergency Department (ED) to evaluate patients with abdominal pain, but exposes them to ionizing radiation, a possible carcinogen. MRI does not utilize ionizing radiation and may be an alternative.

Purpose: To compare the sensitivity of MRI and CT for acute abdominopelvic ED diagnoses. Read More

Ulus Travma Acil Cerrahi Derg 2019 Mar;25(2):118-122

Department of General Surgery, University of Health Sciences, Okmeydanı Training and Research Hospital, İstanbul-Turkey.

Background: The aim of this study was to investigate the incidence of appendiceal neuroendocrine tumors (NET) in an acute appendicitis cohort, as well as to investigate the behavioral form of the tumor. Our secondary aim was to investigate survival in patients with appendiceal NET.

Methods: Between February 2006 and June 2018, 6518 appendectomies were performed for acute appendicitis in the department of surgery, University of Health Sciences, Okmeydanı Education and Research Hospital, İstanbul, Turkey. Read More

Ulus Travma Acil Cerrahi Derg 2019 Mar;25(2):123-128

Adıyaman University Faculty of Medicine, Training and Research Hospital, Department of Radiology, Adıyaman-Turkey.

Background: The purpose of the present study was to investigate the diagnostic value of the appendiceal sphericity index (SI) and appendix diameters in cases of perforated and non-perforated acute appendicitis.

Methods: Eighty-one patients who underwent computed tomography (CT) in our clinic and who were diagnosed with acute appendicitis after histopathological assessment between January 2015 and August 2017 were included in the study. According to their histopathological findings, the patients were divided into two groups: perforated and non-perforated appendicitis. Read More

J Surg Case Rep 2019 Mar 13;2019(3):rjz076. Epub 2019 Mar 13.

PGY3 Resident General Surgery, P.U.C.E, Quito, Ecuador.

Acute appendicitis is one of the most common abdominal emergencies, even though most cases of appendicitis will be due to obstruction of the appendiceal lumen, in rare occasions and mostly due to poor sanitary conditions a parasitic infection may cause appendicitis. is a common parasite and has a broad clinical spectrum from an asymptomatic disease to a life-threatening condition. In rare occasions, trophozoites can invade the appendiceal wall causing appendicitis. Read More

Am J Surg 2019 May 13;217(5):830-833. Epub 2019 Mar 13.

Cumming School of Medicine, University of Calgary, Department of Surgery, North Tower, Foothills Medical Centre, 1403 29 St NW, Calgary, Alberta, T2N 2T9, Canada.

Background: An expedited discharge protocol for uncomplicated appendicitis was developed at a Canadian academic hospital to determine if patients could be safely discharged home early without negatively impacting care and patient satisfaction.

Methods: A non-randomized prospective quality improvement project was completed between February 01, 2017 and January 31, 2018. The project included patients between 16 and 65 years with uncomplicated appendicitis managed with laparoscopic appendectomy. Read More

Acta Gastroenterol Belg 2019 Jan-Mar;82(1):97-98

Department of Gastro-enterology, AZ-Groeninge, Kortrijk, Belgium.

A Toothpick is a dreaded offender when ingested, as it is risky to cause impaction, obstruction or perforation of the gut. When ingestion of a toothpick leads to one of these complications, it clinically mimics an acute abdomen. Often the patient doesn't recall the ingestion, leading to misdiagnosis as inflammatory bowel disease, appendicitis/diverticulitis, etc. Read More

J Obstet Gynaecol Res 2019 Mar 18. Epub 2019 Mar 18.

Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore.

Spontaneous hemoperitoneum in pregnancy (SHiP), an unprovoked, non-traumatic intraperitoneal bleed in pregnancy and up to 42 days postpartum, is a rare but potentially life-threatening clinical condition. Here, we report a rare case of spontaneous rupture of uterine surface variceal vessels in the second trimester of pregnancy mimicking acute appendicitis that posed diagnostic difficulties and challenges in management. Read More

J Magn Reson Imaging 2019 Mar 18. Epub 2019 Mar 18.

University of North Carolina Department of Radiology, Division of Abdominal Imaging, Chapel Hill, North Carolina, USA.

Appendicitis is the most common cause of acute abdominal pain resulting in surgery. While historically ultrasound (US) and computed tomography (CT) have been used to evaluate for appendicitis and its related complications, magnetic resonance imaging (MRI) has become a highly accurate and increasingly utilized modality in the last two decades, particularly in the pediatric and pregnant patient populations in whom ionizing radiation is used reluctantly. This article discusses the advantages and disadvantages of MRI as a modality to evaluate for acute appendicitis, summarizes studies of the diagnostic performance relative to CT and US, provides a standard MR protocol, and describes MRI findings typical of acute appendicitis, common complications, and other differential diagnoses. Read More

Gynecol Obstet Fertil Senol 2019 Mar 13. Epub 2019 Mar 13.

Service de gynécologie-obstétrique, CHU de Poitiers, 1, rue de la Milétrie, 86000 Poitiers, France. Electronic address:

The objective of this literature review is to update the recommendations for clinical practice about the diagnosis of pelvic inflammatory disease (PID), microbiologic diagnosis excluded. An adnexal pain or cervical motion tenderness are the signs that allow a positive diagnosis of PID (LE2). Associated signs (fever, leucorrhoea, metrorrhagia) reinforce clinical diagnosis (LE2). Read More

Ir J Med Sci 2019 Mar 15. Epub 2019 Mar 15.

Department of Surgery, Soba University Hospital, Khartoum, Sudan.

Am J Emerg Med 2019 Mar 7. Epub 2019 Mar 7.

Kahramanmaraş Sütçü İmam University, Department of General Surgery, Kahramanmaraş 46100, Turkey. Electronic address:

Introduction: The present study evaluates the predictive value of such markers as ischemia-modified albumin (IMA), malondialdehyde (MDA) and glutathione peroxide (GSH-Px), in addition to parameters associated with inflammation, oxidative stress and ischemia, playing roles in the pathology of acute appendicitis (AA), including c-reactive protein (CRP), procalcitonin (PCT) and complete blood count (CBC) parameters and their ratios, for the diagnosis of AA in adults.

Material And Methods: The study included 51 patients with histologically confirmed appendicitis and 45 healthy controls who referred to the emergency care unit between January and June 2018. The appendicitis cases were classified into two groups, as complicated and non-complicated, based on postoperative pathological investigations. Read More

Arch Argent Pediatr 2019 Apr;117(2):68-70

Sanatorio de Los Arcos (SMG), Ciudad de Buenos Aires.