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fatal acute appendicitis in adolescents

Imre Janszky, Kenneth J Mukamal, Christina Dalman, Niklas Hammar, Staffan Ahnve
AIMS: Although inflammation contributes to cardiovascular disease, the associations of appendectomy and tonsillectomy, which remove mucosa-associated lymphoid tissue, with risk of acute myocardial infarction (AMI) are unknown. Our aim was to assess the association between these operations performed in childhood and AMI risk later in life. METHODS AND RESULTS: We conducted a prospective matched cohort study among all Swedish residents born between 1955 and 1970. A national register identified all appendectomies and tonsillectomies...
September 2011: European Heart Journal
Yu-Ling Tu, Kuo-Wei Yeh, Li-Chen Chen, Tsung-Chieh Yao, Liang-Shiou Ou, Wen-I Lee, Jing-Long Huang
OBJECTIVE: Abdominal pain in systemic lupus erythematosus (SLE) patients has rarely been analyzed in pediatric populations. We planned to investigate the potential differences between childhood-onset and adult-onset SLE patients who were hospitalized because of acute abdominal pain. METHODS: A retrospective study including 23 childhood-onset SLE patients with 38 admissions and 88 adult-onset SLE patients with 108 admissions from 1999 to 2008 were conducted in our hospital...
April 2011: Seminars in Arthritis and Rheumatism
F A Abantanga, B Nimako, M Amoah
BACKGROUND: Acute abdominal conditions are a common reason for emergency admission of children. Little is available in the literature about such conditions in our subregion, especially Ghana. OBJECTIVE: The aim of this study was to investigate the range of emergency abdominal surgical conditions amongst children in the subregion, with particular reference to Komfo Anokye Teaching Hospital, Kumasi, Ghana. A prospective survey of all children older than 1 year undergoing an emergency abdominal surgery was carried out...
October 2009: Annals of African Medicine
C Sabetay, Anca Maloş, O Ciobanu, M Ciucă, J Kamel, A Zavate, A Stoica, E Cârstoiu, I Purcaru, Eva Sabetay
This paper analyses the experience of the Paediatric Surgery Department from the Emergency Hospital in Craiova regarding the clinical and therapeutical evaluation of 55 cases with appendicular plastron admitted in our department between 1997-2006. We analyse both the evolution and the complications in managing these cases, together with particular aspects of differential diagnosis related to this group of age. These 55 cases were children aged between 2 and 15 years with a 15 days average hospitalization period...
March 2008: Chirurgia
A A Papadopoulos, D Polymeros, M Kateri, C Tzathas, M Koutras, S D Ladas
BACKGROUND AND AIMS: There are several reports showing a continuing fall in the incidence of acute appendicitis in the western countries. Our aim was to study the trend of the incidence of acute appendicitis in the Greek population over 30 years. METHODS: We analyzed the data referring to the years 1970-1999 on the incidence and mortality of acute appendicitis for the entire Greek population. Data were retrieved from the Annual Bulletin for the Social Welfare and Health Statistics of the National Statistics Service of Greece...
2008: Digestive Diseases
Lale Olcay, Gürbüz Dingil, Emin Yildirim, Gülay Dilek, Ece Dirim
A 14 7/12-year-old boy with acute myeloblastic leukemia M3v was admitted with disseminated intravascular coagulation, otitis media, lobar pneumonia, and splenomegaly. After induction therapy, M2 bone marrow was attained but splenomegaly persisted. Abdominal ultrasonography, which revealed diffuse splenomegaly at admission, showed splenic nodular lesions at the end of the induction therapy. The lesions persisted after M1 bone marrow was attained. He developed acute appendicitis and was operated. Ultrasonography-guided aspiration biopsy revealed nonspecific purulent abscess...
July 2007: Turkish Journal of Pediatrics
Mark D Stringer, Gordon Pledger
The number of in-hospital deaths in children aged 0 to 14 years from acute appendicitis in England and Wales has fallen from an annual average of 36.2 in 1963 through 1967 to 1.8 in 1993 through 1997, and the case-fatality rate from 1.06 to 0.16 per 1,000 discharges, a reduction of 85%. During these 4 decades, the child population has fallen by 8.5%, and the number of children discharged from the hospital with a diagnosis of acute appendicitis by 63%. These data highlight a trend noted in Scotland in the first 50 years of the 20th century...
July 2003: Journal of Pediatric Surgery
Scott A J Kerrigan, Philip Cagle, Andrew Churg
Most cases of malignant mesothelioma present with obvious diffuse tumor, and the presence of grossly visible diffuse tumor is usually cited as an important criterion for making the diagnosis. We report four cases of unsuspected malignant mesothelioma of the peritoneum presenting as localized acute inflammatory lesions. The clinical diagnoses were acute appendicitis in two cases, acute cholecystitis in the third case, and incarcerated umbilical hernia in the fourth case. In all cases tumor was not evident at initial surgical exploration or on gross pathologic examination, and the diagnosis was only made on microscopic examination of the resected specimens...
February 2003: American Journal of Surgical Pathology
Hiroyuki Kayaba, Koh Kodama, Kimiyuki Shirayama, Yoshimi Kobayashi, Tetsuya Adachi, Junichi Chihara
Nontyphoidal salmonellosis has a wide variety of clinical presentations. With the aim of describing the detailed clinical presentations of gastroenteritis caused by nontyphoidal Salmonella spp., findings for 126 patients (1-94 years of age; 37.0 years on average) were analyzed. Nontyphoidal salmonellosis is prevalent from April to October in Akita, when the mean atmospheric temperature exceeds 10 degrees C. On physical examination, 3 patients had rebound tenderness and muscle guarding on their abdominal wall; 1 of these patients underwent surgery for associated acute appendicitis...
September 2002: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
David R Flum, Thomas Koepsell
BACKGROUND: Negative appendectomy (NA)--the nonincidental removal of a normal appendix--occurs commonly but the associated clinical- and system-level costs are not well studied. HYPOTHESIS: The frequency of adverse clinical outcomes and associated financial burden of hospitalizations during which NA is performed is greater than previously recognized and varies widely among demographic groups. DESIGN: Population-based, retrospective cohort study...
July 2002: Archives of Surgery
H Stöltzing, K Thon
AIMS: A retrospective study was used to compare laparoscopic appendectomy for perforated appendicitis to open operation. METHODS: Between July 1991 and June 1999 a total of 734 patients, all over 14 years of age, underwent operation for acute appendicitis. Of these patients, 125 (17%) displayed perforated appendicitis and were treated with either a laparoscopic appendectomy (n = 80; total conversion rate 36/80, 45%) or a primary open procedure (n = 45). RESULTS: Due to selection, the 3 treatment groups (laparoscopic, laparoscopy with conversion, open operation) showed differences with respect to gender, duration of symptoms, proportion of obese patients and patients with generalized peritonitis...
2000: Digestive Surgery
D Lulchev
This is a retrospective study covering 11,142 acute appendicitis patients, operated in the emergency surgery section of the Emergency Medicine Institute "Pirogov" over the period 1986 through 1995. Overall mortality amounts to 0.29 per cent (32 deceased). The dynamic patterns of mortality undergo regression analysis. The basic factors having an impact on thanatogenesis are comprehensively discussed, namely advanced age, premorbidity background, form of appendicitis and postoperative complications. Late diagnosis is the most important factor leading to peritonitis development...
1996: Khirurgiia
U Rosien, T M Cox, M Ali, A Dignass, A Daul, P Layer, W Hager
No abstract text is available yet for this article.
September 15, 1993: Medizinische Klinik
A F Dronov, V I Kotlobovskiĭ, B K Dzhenalaev, Zh K Narmukhamedov
The article generalizes the first experience in successful laparoscopic appendectomies in children carried out by the method suggested by F. Götz et al. which we modified and adapted to pediatric practice. In all cases of acute appendicitis the laparoscopic manipulation began with the diagnostic stageo by performing two abdominal punctures with small-diameter trocars. Laparoscopic appendectomy was undertaken only in recognized destructive appendicitis. It was conducted 205 times in children 2 to 14 years old in various localization of the vermiform process, including subhepatic and retroperineal...
April 1994: Khirurgiia
H Scheinin, T Havia, E Pekkala, P Huovinen, J Klossner, H Lehto, J Niinikoski
We compared aspoxicillin, a new broad-spectrum penicillin derivative, with piperacillin in severe abdominal infection. Aspoxicillin 4 g administered tds (n = 52) or piperacillin 4 g qds (n = 53) usually as monotherapy were randomly given to patients suffering from perforated appendicitis, acute cholecystitis, ulcer or colon perforation, or intra-abdominal abscess. Blood, tissue and exudate cultures were obtained when applicable for pathogen identification and susceptibility testing. The efficacy rates were similar in the two study groups...
November 1994: Journal of Antimicrobial Chemotherapy
P Peltokallio, H Tykkä
Death due to appendicitis is still a significant occurrence. The stage when the disease is diagnosed and operation occurs has a decisive influence on the mortality. In our series of 9,652 cases of appendicitis, 26 patients died (0.27%)-ten (0.12%) of nonperforative appendicitis, and 16 (1.18%) of perforative appendicitis. Both the patients and the physician can delay treatment. The proportion of fatal cases is six times as great in perforative appendicitis is in those operated on in time. The deaths in those with a perforated appendix were usually caused by the basic disease or the surgical procedure, while in patients with unperforated appendixes, death was most commonly caused by other concomitant diseases...
February 1981: Archives of Surgery
A Nagy, J Léb
1556 children with acute appendicitis are reported. 118 of these were perforated (7.5%). There was one fatal case (0.06%). Perforation was found more frequently in children under one year of age. The complications of infection in this situation are discussed.
May 1980: Zeitschrift Für Kinderchirurgie und Grenzgebiete
M Rey, R Behrens, G Zeilinger
A 13-year-old girl with previously undiagnosed fructose intolerance was operated on for acute appendicitis. Postoperatively she received several infusions containing fructose or sorbitol. Haematemesis occurred on the fourth postoperative day, as well as tarry stools and jaundice. Blood sugar was 2 mg/100 ml, Quick test 3%, liver enzymes were markedly elevated, serum bilirubin was over 9 mg/100 ml, and there was a metabolic acidosis. Despite intensive treatment, including haemodialysis and plasmapheresis, she died on the 11th postoperative day...
June 10, 1988: Deutsche Medizinische Wochenschrift
H G Pledger, L T Fahy, G A van Mourik, G H Bush
Thirty five children died of acute appendicitis in England and Wales in 1980-4 compared with 204 in 1963-7. Thirteen of the 35 deaths in 1980-4 took place at home or on the day of admission to hospital before operation and a further 18 on the day of operation or the first day after it. Thirty one of the children had peritonitis. A third of the deaths were in children aged 0-4 years, and the hospital fatality rate in this age group was one death in 320 cases compared with one death in 4760 cases in children aged 5-14 years...
November 14, 1987: British Medical Journal (1981-1988)
D J Barker
This paper examines the time trends in acute appendicitis in Britain in relation to changes in consumption of fibre, meat, and sugar. Knowledge of previous case fatality rates, diagnostic criteria, and management are sufficient to infer general trends in incidence from mortality data. The incidence rose steeply from around 1895 and fell from the 1930s onwards. Contrary to previous statements there is no evidence that disease rates were greatly influenced by the dietary changes in the second world war. It is concluded that dietary changes do not explain the time trends in appendicitis and that the epidemiology of the disease is more readily explained by a primarily infectious aetiology...
April 13, 1985: British Medical Journal (1981-1988)
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