15,385 results match your criteria Appendicitis Acute


Prevalence of Postoperative Unfavorable Outcome and Associated Factors in Patients with Appendicitis: A Cross-Sectional Study.

Open Access Emerg Med 2021 6;13:169-176. Epub 2021 May 6.

Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Purpose: Appendicitis is surgical emergency that might need removal of the inflamed appendix. Unless treated, appendicular abscess, perforation, and even death might be the unfavorable outcomes. Hence, this study was aimed to investigate the unfavorable outcomes and associated factors among appendicitis operated patients. Read More

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Multisystemic Inflammatory Syndrome in Children Associated With SARS-CoV-2 Infection: A Case Series Report in a Pediatric Center in Mexico.

J Med Cases 2020 Dec 21;11(12):375-378. Epub 2020 Oct 21.

Evidence-Based Medicine Department, Hospital Pediatrico de Sinaloa, Culiacan, Mexico.

We report four cases of patients with multisystem inflammatory syndrome in children (MIS-C) associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, of which three patients presented characteristics of Kawasaki disease (KD). All presented fever of more than 3 days, and gastrointestinal involvement, significant increase in C-reactive protein (CRP), polymorphonuclear cells, procalcitonin, D-dimer, fibrinogen and troponin, lymphopenia and hypoalbuminemia. Myocardial involvement was observed in two patients. Read More

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December 2020

Endoscopic retrograde appendicitis therapy for management of acute appendicitis.

Surg Endosc 2021 May 13. Epub 2021 May 13.

Department of Gastroenterology, Jianyang People's Hospital, 180 Yiyuan Road, Jianyang, Sichuan, 641400, China.

Background: This study investigated the feasibility of endoscopic retrograde appendicitis therapy (ERAT) for the treatment of acute appendicitis.

Methods: There were 210 patients included who were admitted to our hospital from January 2017 to October 2019 with a diagnosis of acute appendicitis. According to the method of treatment, patients were stratified into the ERAT group, laparoscopic appendectomy (LA) group, or open appendectomy (OA) group for comparison of perioperative information extracted from the medical records of the patients. Read More

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Appendicitis during the COVID-19 pandemic: lessons learnt from a district general hospital.

BMC Surg 2021 May 12;21(1):242. Epub 2021 May 12.

Royal Devon & Exeter Hospital, Exeter, EX2 5DW, Devon, UK.

Background: The COVID-19 pandemic dramatically influenced the delivery of healthcare. In line with the UK Royal Colleges' advice the management of acute appendicitis (AA) changed with greater consideration for non-operative management (NOM) or open appendicectomy when operative management (OM) was sought. We describe our experience of the presentation, management and outcomes for these patients to inform care for future viral pandemics. Read More

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Impact of the COVID-19 pandemic on incidence and severity of acute appendicitis: a comparison between 2019 and 2020.

BMC Emerg Med 2021 05 12;21(1):61. Epub 2021 May 12.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Background: During the COVID-19 pandemic, a decrease in the number of patients presenting with acute appendicitis was observed. It is unclear whether this caused a shift towards more complicated cases of acute appendicitis. We compared a cohort of patients diagnosed with acute appendicitis during the 2020 COVID-19 pandemic with a 2019 control cohort. Read More

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[Features and choice of surgical strategy in patients with gastrointestinal fistulas].

Khirurgiia (Mosk) 2021 (5):58-62

Samara State Medical University, Samara, Russia.

Objective: To evaluate the features and choice of surgical strategy in patients with gastrointestinal fistula based on classification of their types.

Material And Methods: There were 398 patients with gastrointestinal fistula. Fistula type 1 was found in 126 (31. Read More

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Irreducible inflamed inguinal hernia with infected gangrenous omentum after laparoscopic appendectomy: a case report.

J Surg Case Rep 2021 May 5;2021(5):rjab172. Epub 2021 May 5.

Department of General Surgery, Nizwa Hospital, Nizwa, Al Dakhiliya, Oman.

We reported a rare complication of laparoscopic appendectomy in a 19-year-old patient, who was admitted with acute appendicitis and had no history of inguinal hernia. He underwent laparoscopic appendectomy for suppurative appendicitis. Eight days later, he presented with irreducible incarcerated right inguinal hernia. Read More

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Acute appendicitis in pregnancy mimicking leiomyoma pain.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Department of Obstetrics and Gynecology, Seoul Medical Center, Jungnang-gu, Seoul, Republic of Korea.

Acute appendicitis is the most common nonobstetric condition requiring surgery in pregnancy. However, the diagnosis of acute appendicitis during pregnancy is challenging because of obscure clinical manifestations and laboratory findings. Intravenous antibiotic treatment is not preferred over operation because of the poor outcome. Read More

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Analysis of Pediatric Surgery Using the National Healthcare Insurance Service Database in Korea: How Many Pediatric Surgeons Do We Need in Korea?

J Korean Med Sci 2021 May 10;36(18):e116. Epub 2021 May 10.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: In the past, general surgeons (GSs) without a pediatric surgical subspecialty often performed surgery on children and, even now, GSs are performing many pediatric surgeries. We aimed to investigate the involvement of pediatric surgeons (PSs) and GSs in pediatric surgery, compare the outcomes of surgery in the neonatal intensive care unit (NICU), and estimate the appropriate PS workforce in Korea.

Methods: We used surgical data from the National Health Insurance Service database that was collected from patients under the age of 19 years in hospitals nationwide from January 2002 to December 2017. Read More

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Ectopic decidua of the appendix: a case report.

Surg Case Rep 2021 May 11;7(1):117. Epub 2021 May 11.

Department of Surgical Oncology, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Background: Ectopic decidua is the presence of decidual tissue outside the uterus. Ectopic decidua of the appendix is a rare entity that can present with abdominal symptoms mimicking appendicitis. We report a case of a 39-year-old female patient at 27 weeks gestational age with a 2-day history of right lower quadrant abdominal pain. Read More

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Double Appendix: Implications for the Emergency Department.

J Emerg Med 2021 May 7. Epub 2021 May 7.

University of Maryland Baltimore Washington Medical Center, Glen Burnie, Maryland.

Background: A double appendix, also known as vermiform appendix duplex, is a rare anomaly in humans, with a reported incidence of 1 in 25,000. The rarity of vermiform appendix duplication makes it a noteworthy medical occurrence. Approximately 100 reported cases have been documented since the first observed case in 1892. Read More

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Sarcomatoid carcinoma of the pancreas - multimodality imaging findings with serial imaging follow-up: A case report and review of literature.

World J Clin Cases 2021 May;9(13):3102-3113

Department of Pathology, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon 35015, South Korea.

Background: Sarcomatoid carcinoma of the pancreas is extremely rare and has an extremely poor prognosis. Although a few cases of sarcomatoid carcinoma of pancreas have been reported, most are focused on a histopathological review. To the best of our knowledge, there are no reports documenting multimodality imaging characteristics and chronological changes with emphasis on radiologic features. Read More

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Comparison of Ultrasonic Dissection and Suture Ligation for Mesoappendix in Laparoscopic Appendectomy.

Cureus 2021 Apr 6;13(4):e14316. Epub 2021 Apr 6.

Surgery, Rawalpindi Medical University, Rawalpindi, PAK.

Objective To compare the use of ultrasonic dissector and suture ligation for mesoappendix in laparoscopic appendectomy in terms of mean operative time and per-operative bleed. Methodology This was a randomized controlled trial conducted at Surgical Unit II, Holy Family Hospital over a period of six months. All patients with the diagnosis of acute appendicitis who presented in the emergency department of Holy Family Hospital on the call days of Surgical Unit II undergoing laparoscopic appendectomy were included in the study. Read More

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Paediatric gastrointestinal disorders in SARS-CoV-2 infection: Epidemiological and clinical implications.

World J Gastroenterol 2021 Apr;27(16):1716-1727

Department of Tropical Medicine, Tanta University, Tanta 31527, Algharbia, Egypt.

The coronavirus disease 2019 (COVID-19) pandemic is a threat worldwide for individuals of all ages, including children. Gastrointestinal manifestations could be the initial presenting manifestation in many patients, especially in children. These symptoms are more common in patients with severe disease than in patients with non-severe disease. Read More

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Discordance in Appendicitis Grading and the Association with Outcomes: A Post-Hoc Analysis of an EAST Multicenter Study.

J Surg Res 2021 May 5;265:259-264. Epub 2021 May 5.

Division of Trauma and Surgical Critical Care, DeWitt Daughtry Family Department of Surgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida.

Background: The American Association for the Surgery of Trauma (AAST) appendicitis severity grading criteria use independent subscales for radiologists (Rad), surgeons (Surg), and pathologists (Path). We reviewed the EAST Multicenter Study of the Treatment of Appendicitis in America: Acute, Perforated, and Gangrenous (MUSTANG) database to determine rates of discordance and clinical consequences of inaccuracy.

Materials And Methods: A confusion matrix was constructed for pairs among Rad, Surg, and Path. Read More

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Acute abdomen: Unusual presentation of Herlyn-Werner Wunderlich syndrome.

Int J Surg Case Rep 2021 Apr 27;82:105911. Epub 2021 Apr 27.

Department of Surgery, Samlaniya Medical Complex, P.O. Box 12, Manama, Bahrain.

Introduction And Importance: The presentation of an acute abdomen has a wide range of differentials. Developmental anomalies are rarely considered as part of the clinical reasoning process due to it being a mimicker of other commoner diseases. The importance of considering such anomalies and recognizing them early is essential in order to prevent complications, such as infertility. Read More

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Association of Neighborhood Socioeconomic Disadvantage With Complicated Appendicitis in Children.

J Surg Res 2021 May 4;265:245-251. Epub 2021 May 4.

Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address:

Background: Lower socioeconomic status (SES) is linked to poorer outcomes for a variety of health conditions in children, potentially through delay in accessing care. The objective of this study was to measure the association between SES and delay in surgical care as marked by presentation with complicated appendicitis (CA).

Methods: Children treated for acute appendicitis between 2015-2019 at a large academic children's hospital were reviewed. Read More

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Laparoscopic appendectomy for metastatic cervical cancer presenting as appendicitis.

Surg Case Rep 2021 May 7;7(1):114. Epub 2021 May 7.

Department of Surgery, Tokyo Bay Medical Center, 3-4-32 Todaijima, Urayasu, Chiba, 279-0001, Japan.

Background: Metastatic lesions to the appendix are rare. They usually present with acute appendicitis or remain asymptomatic and are diagnosed incidentally. Metastases to the appendix have been reported from a number of primary tumor sites including ovary, colon, gastric and lung. Read More

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Torsion of cecal appendix. Report of the first Italian case and review of the literature.

Pediatr Med Chir 2021 May 7;43(1). Epub 2021 May 7.

Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza.

In pediatric patients appendicitis is the most common cause of abdominal pain and surgery. Torsion of vermiform appendix is a rare cause, clinically indistinguishable from appendicitis with usually an intraoperative diagnosis. The first description of vermiform appendix torsion was made by Payne in 1918. Read More

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Benefits of conservative management of a retained appendicolith after laparoscopic appendectomy: A case series.

Int J Surg Case Rep 2021 Apr 27;82:105925. Epub 2021 Apr 27.

Trauma and Acute Care Surgery Unit, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia. Electronic address:

Introduction: Acute appendicitis is a disease with multifactorial etiology and frequently includes lumen obstruction. Appendicoliths can pose a challenge during the appendectomy procedure if not identified.

Methods: This is a prospective case series at our academic institution involving two medically free patients with intra-abdominal abscess formation secondary to an overlooked appendicolith who were treated conservatively with a follow up period of one year for each patient. Read More

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FACTORS AFFECTING THE EFFECTIVENESS OF CONSERVATIVE MANAGEMENT OF APPENDICULAR MASS.

Authors:
Haithem Ali

Pol Przegl Chir 2021 Jun;93(3):1-5

University of Basrah, Al-Zahraa College of Medicine, Basrah, Iraq.

INTRODUCTION/ PURPOSE Acute appendicitis is the most common surgical emergency in children. Appendicular mass is a relatively common complication in improperly treated patients. The management of appendicular mass remains controversial. Read More

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Emergency appendicectomy during COVID-19 pandemic - A single UK centre experience.

Pol Przegl Chir 2021 Mar;93(2):33-39

Department of Surgery, University Hospital North Midlands, Stoke-on-Trent, United Kingdom.

Background - In December 2019 following an outbreak of Novel coronavirus infection (COVID-19) in Wuhan, China, it spread rapidly overwhelming the healthcare systems globally. With little knowledge of COVID-19 virus, very few published reports on surgical outcomes; hospitals stopped elective surgery, whilst emergency surgery was offered only after exhausting all conservative treatment modalities. This study presents our experience of outcomes of emergency appendectomies performed during the pandemic. Read More

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The role of treatment delays in surgical site infection after appendicectomy in a South African rural regional hospital.

S Afr Med J 2021 Mar 2;111(3):271-275. Epub 2021 Mar 2.

Department of Surgery, Worcester Regional Hospital, Western Cape Department of Health, South Africa; Ukwanda, Centre for Rural Health, Stellenbosch University, Worcester Campus, South Africa; Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Background: Delays to surgery for acute appendicitis in low- and middle-income countries lead to significant morbidity.

Objectives: To investigate the role of time to surgery in the development of complicated appendicitis and surgical site infection (SSI) in a rural referral hospital in South Africa (SA).

Methods: A prospective cohort study was conducted of all patients presenting to a regional hospital in SA with acute appendicitis during 2017. Read More

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Laparoscopic Appendectomy for Acute Appendicitis Complicated by Pancytopenia in Two Patients with Hematologic Diseases.

J Anus Rectum Colon 2021 28;5(2):188-191. Epub 2021 Apr 28.

Department of Surgery, Japan Community Health care Organization Sagamino Hospital, Sagamihara, Japan.

A 25-year-old male (Case 1) was waiting for a bone marrow transplant for myelodysplastic syndrome. Due to acute appendicitis, he was advised to undergo gastroenterological surgery. After blood transfusion, he underwent an emergency laparoscopic appendectomy, as no blood cell recovery was expected. Read More

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Predictive Efficacy of Delta Neutrophil Index in Diagnosis of Acute and Complicated Appendicitis.

Cureus 2021 Apr 29;13(4):e14748. Epub 2021 Apr 29.

General Surgery, Ankara City Hospital, Ankara, TUR.

Background The delta neutrophil index has been accepted as an inflammatory marker, especially in sepsis. This study aimed to evaluate the effectiveness of the delta neutrophil index in predicting acute and complicated appendicitis. Methods Patients aged 18 years and over who underwent appendectomy were reviewed. Read More

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Acute appendicitis revealing a diagnosis of chronic myelogenous leukemia.

Clin Case Rep 2021 Apr 24;9(4):1913-1916. Epub 2021 Feb 24.

Department of Hematology/Oncology National Centre for Cancer Care & Research Doha Qatar.

Gastrointestinal manifestations of leukemias have been well recognized. Typically, acute leukemias cause typhlitis or appendicitis more commonly than chronic leukemias. Our case points to appendicitis as possible manifestation of chronic myelogenous leukemia. Read More

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Retrospective Evaluation of Ileocolic Artery and Vein Diameters according to Body Mass Index in the Diagnosis of Acute Appendicitis on Multislice Computerized Tomography.

Sisli Etfal Hastan Tip Bul 2021 17;55(1):18-22. Epub 2021 Mar 17.

Department of Radiology, University of Health Sciences Turkey, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey.

Objectives: We aimed to investigate the diagnostic value of the increasement in the ileocolic artery and vein diameters considering the body mass index (BMIs) of the patients with acute appendicitis.

Methods: Between January 2016 and April 2019, 76 patients who were diagnosed with acute appendicitis by contrast-enhanced abdominal multislice computerized tomography (MSCT) and had histopathologically confirmed appendicitis after an appendectomy were included in this study. To evaluate the value of MSCT, we created a control group, which consisted of 81 patients who had contrast-enhanced MSCT for other reasons and had no clinical and radiological findings suspicious for acute appendicitis and also had no other abdominal pathology that might interfere with ileocolic artery and vein diameter. Read More

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Laparoscopic Versus Open Appendectomy for Appendicitis in Pregnancy: Systematic Review and Meta-Analysis.

Surg Laparosc Endosc Percutan Tech 2021 May 3. Epub 2021 May 3.

Department of Liver & Laparoscopic Surgery, Center of Digestive & Vascular Surgey Center of Health Management, 1st Affiliated Hospital of Xinjiang Medical University, Xinshi District, Urumqi, China.

Objectives: The clinical safety, efficacy and feasibility of laparoscopic appendectomy (LA) compared with open appendectomy (OA) in pregnancy are still controversial. Herein, we are aiming to compare the clinical outcomes of LA and OA in patients with acute appendicitis during their pregnancy.

Materials And Methods: This was a systematic review and meta-analysis of studies comparing laparoscopic and OA in pregnancy identifying using PubMed, Web of science, Embase, The Cochrane Library, Ovid and Scopus. Read More

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Appendiceal adenocarcinoma found by surgery for acute appendicitis is associated with older age.

BMC Surg 2021 May 2;21(1):228. Epub 2021 May 2.

Jacobi Medical Center, Bronx, NY, USA.

Background: Appendectomy for acute appendicitis is the most common procedure performed emergently by general surgeons in the United States. The current management of acute appendicitis is increasingly controversial as non-operative management gains favor. Although rare, appendiceal neoplasms are often found as an incidental finding in the setting of appendectomy. Read More

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