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https://www.readbyqxmd.com/read/27625212/incidence-of-normal-white-cell-count-and-c-reactive-protein-in-adults-with-acute-appendicitis
#1
Nalin H Dayawansa, Julian D S Segan, Henry H I Yao, Hon I Chong, Paul J Sitzler
BACKGROUND: Normal C-reactive protein (CRP) and white cell count (WCC) are often used to exclude a diagnosis of acute appendicitis in the Emergency Department (ED). Retrospective review of 281 adult patients with acute appendicitis was performed to study the incidence of normal CRP and WCC on admission and examine any possible predisposing factors. METHOD: Retrospective analysis of patient clinical records yielded CRP, WCC, operative diagnosis, time of symptom onset, imaging results and history and examination features...
September 14, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27613754/diagnostic-accuracy-of-the-appy1-test-in-patients-aged-2-20-years-with-suspected-acute-appendicitis-presenting-to-emergency-departments
#2
Juan González Del Castillo, Francisco Javier Ayuso, Victoria Trenchs, Mikel Martinez Ortiz de Zarate, Carmen Navarro, Kinda Altali, Cristina Fernandez, David Huckins, Francisco Javier Martín-Sánchez
OBJECTIVE: Evaluate the diagnostic accuracy of the APPY1 Test alone and in combination with the Alvarado score (AS) to rule out acute appendicitis (AA) in patients presenting to EDs with abdominal pain suspicious for AA. METHODOLOGY: Observational study in a prospective consecutive cohort including all patients from 2 to 20 years with abdominal pain suggestive of AA in four EDs. The APPY1 Test was performed and AS was calculated to determine risk stratification for each patient...
September 9, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27452941/an-unexpected-discovery
#3
Samantha Mc Kenzie Stancu, Bogdan Aurelian Popescu, Mircea Beuran
Meckel's Diverticulum is the most common congenital malformation of the gastrointestinal tract with a prevalence of 2 % in the general population, being twice as common and symptomatic in males. Not seldom is the diagnosis made incidentally, upon laparotomy for other intra-abdominal conditions, namely acute appendicitis. Simple Diverticulectomy is the surgical treatment of choice. We present the case of S.M., a 38 year-old male who was admitted to the Surgery Department of the Bucharest Clinical Emergency Hospital for sudden onset of initially periumbilical pain, which later migrated and localized in the right iliac fossa (RIF) accompanied by vomiting after the onset of pain, approximately 24 hours prior to admission...
May 2016: Chirurgia
https://www.readbyqxmd.com/read/27323417/-myomectomy-and-uterine-desarterialization-as-conservative-treatment-for-uterine-fibroids-review-of-clinic-case
#4
J I Garcia-de la Torre, M A Aguirre-Ramos, A M Ramos-Alvarado, D Villa-Ponce, G González-Cantú
BACKGROUND: Uterine fibroids are the most common gynecological tumors; the prevalence increases with age. They can cause symptoms (20-50%). Myomectomy is an alternative for women who wish to preserve their fertility, increased risk of blood loss and longer operative time. Since 2000, a significant number of surgeons have performed occlusion of uterine arteries prior to myomectomy successfully. CASE REPORT: We report the case of a 24-year-old patient, with a history of premature birth; and starts her condition after obstetric event with abnormal uterine bleeding and postcoital bleeding, accompanied by intense, oppressive and stabbing abdominal pain and increased ab-dominal volume...
February 2016: Ginecología y Obstetricia de México
https://www.readbyqxmd.com/read/27299296/point-of-care-ultrasound-integrated-into-a-staged-diagnostic-algorithm-for-pediatric-appendicitis
#5
Stephanie J Doniger, Aaron Kornblith
OBJECTIVES: We hypothesized that point-of-care ultrasound (POCUS) is as accurate as radiology-performed ultrasound in evaluating children with clinical concern for appendicitis. As part of a staged approach, we further hypothesized that POCUS could ultimately decrease computed tomography (CT) utilization. METHODS: This was a prospective, convenience sampling of patients aged 2 to 18 years presenting with abdominal pain to a pediatric emergency department. Those patients with prior abdominal imaging, pregnant, or unable to tolerate the examination were excluded...
June 14, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27242926/evaluation-of-clinical-alvarado-scoring-system-and-ct-criteria-in-the-diagnosis-of-acute-appendicitis
#6
Idil Gunes Tatar, Kerim Bora Yilmaz, Alpaslan Sahin, Hasan Aydin, Melih Akinci, Baki Hekimoglu
Aim. The aim was to evaluate the clinical Alvarado scoring system and computed tomography (CT) criteria for the diagnosis of acute appendicitis. Material and Methods. 117 patients with acute abdominal pain who underwent abdominal CT were enrolled in this retrospective study. Patient demographics, clinical Alvarado scoring, CT images, and pathologic results of the patients were evaluated. Results. 39 of the 53 patients who were operated on had pathologically proven acute appendicitis. CT criteria of appendiceal diameter, presence of periappendiceal inflammation, fluid, appendicolith, and white blood cell (WBC) count were significantly correlated with the inflammation of the appendix...
2016: Radiology Research and Practice
https://www.readbyqxmd.com/read/27173808/seroprevalence-and-correlates-of-toxoplasma-gondii-infection-in-yoremes-mayos-in-mexico-a-cross-sectional-study
#7
Cosme Alvarado-Esquivel, Antonio Rascón-Careaga, Jesús Hernández-Tinoco, María Alba Guadalupe Corella-Madueño, Luis Francisco Sánchez-Anguiano, María Lourdes Aldana-Madrid, Gerardo Javier Almada-Balderrama, Alan Daniel Nuñez-Aguirre, Oliver Liesenfeld
OBJECTIVES: We sought to determine the prevalence of anti-Toxoplasma gondii antibodies in Yoremes and to identify associations of T. gondii exposure with sociodemographic, clinical and behavioural characteristics of Yoremes. DESIGN: A cross-sectional survey. SETTING: Yoremes were enrolled in the locality of Tierra Blanca in the municipality of Navojoa in Sonora State, Mexico. PARTICIPANTS: We studied 200 Yoremes (Mayos); they are an indigenous ethnic group living in a coastal region in northwestern Mexico...
2016: BMJ Open
https://www.readbyqxmd.com/read/27131977/-surgical-treatment-of-liver-haemangiomas-in-a-third-level-hospital-in-south-east-mexico
#8
Arturo Benjamín Ortiz-Bayliss, Gustavo Martínez-Mier, Rubén Antonio Alvarado-Arenas, Francisco Antonio Lajud-Barquín
BACKGROUND: Liver haemangiomas are the most common benign tumours, commonly presented in women and considered giant when their diameter surpasses 4cm. They are mostly asymptomatic and incidental findings. They manifest with abdominal pain and mass effect. These tumours can be managed by observation, enucleation, resection, and embolisation. OBJECTIVE: To determine the experience in our unit as regards the treatment and post-surgical outcomes of patients with liver haemangiomas...
April 27, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/26935714/prospective-evaluation-of-the-ability-of-clinical-scoring-systems-and-physician-determined-likelihood-of-appendicitis-to-obviate-the-need-for-ct
#9
Sean K Golden, John B Harringa, Perry J Pickhardt, Alexander Ebinger, James E Svenson, Ying-Qi Zhao, Zhanhai Li, Ryan P Westergaard, William J Ehlenbach, Michael D Repplinger
OBJECTIVE: To determine whether clinical scoring systems or physician gestalt can obviate the need for computed tomography (CT) in patients with possible appendicitis. METHODS: Prospective, observational study of patients with abdominal pain at an academic emergency department (ED) from February 2012 to February 2014. Patients over 11 years old who had a CT ordered for possible appendicitis were eligible. All parameters needed to calculate the scores were recorded on standardised forms prior to CT...
July 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26803533/abdominal-mondor-disease-mimicking-acute-appendicitis
#10
Myriam Schuppisser, Joe Khallouf, Ziad Abbassi, Michel Erne, Denise Vettorel, Alexandre Paroz, Surennaidoo P Naiken
INTRODUCTION: Mondor disease (MD), a superficial thrombophlebitis of the thoraco-epigastric veins and their confluents is rarely reported in the literature. The superior epigastric vein is the most affected vessel but involvement of the inferior epigastric vessels or their branches have also been described. There is no universal consensus on treatment in the literature but most authors suggest symptomatic treatment with non-steroid anti-inflammatory drugs (NSAIDs). CASE REPORT: We report the case of a marathon runner who presented with right iliac fossa pain mimicking the clinical symptomatology of an acute appendicitis...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26144270/-hepatic-angiosarcoma-and-liver-transplantation-case-report-and-literature-review
#11
REVIEW
Lorena Denisse Huerta-Orozco, Karla Lisseth Leonher-Ruezga, Luis Ricardo Ramírez-González, José Manuel Hermosillo-Sandoval, José de Jesús Sandoval-Alvarado, Rubén Eduardo Morán-Galaviz
BACKGROUND: Hepatic angiosarcoma is a rare vascular malignancy that accounts for 2% of all hepatic primary tumours. The diagnosis is difficult, especially if the patient does not have history of exposure to carcinogens, which are considered as risk factors. The diagnosis is made by histopathology, but in a considerable percentage it can only be accomplished by autopsy. The performing of fine needle aspiration biopsy can lead to bleeding, with limitations in its use. CLINICAL CASE: A 41 year-old male, with no history of exposure to carcinogens, who developed abdominal pain secondary to a haemoperitoneum due to tumour rupture, was diagnosed by imaging methods with a giant cavernous hepatic haemangioma...
November 2015: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/26001260/value-of-focused-appendicitis-ultrasound-and-alvarado-score-in-predicting-appendicitis-in-children-can-we-reduce-the-use-of-ct
#12
COMPARATIVE STUDY
Netta M Blitman, Muhammad Anwar, KeriAnne B Brady, Benjamin H Taragin, Katherine Freeman
OBJECTIVE: The purpose of this study was to evaluate the effectiveness of focused appendicitis ultrasound combined with Alvarado score to accurately identify appendicitis in children in whom it is suspected, thereby reducing unnecessary CT examinations and associated radiation exposure. MATERIALS AND METHODS: We retrospectively evaluated the focused appendicitis ultrasound, CT, clinical, and laboratory findings of 522 consecutively registered children (231 boys, 291 girls; mean age, 13...
June 2015: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/25762518/comparison-of-multislice-computed-tomography-and-clinical-scores-for-diagnosing-acute-appendicitis
#13
COMPARATIVE STUDY
Wen Liu, Jin Wei Qiang, Rong Xun Sun
OBJECTIVE: To compare Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Alvarado scores with multislice computed tomography (MSCT) for diagnosing acute appendicitis (AA). METHODS: This retrospective study included patients with abdominal pain who had undergone MSCT, and whose medical notes included RIPASA and Alvarado score parameters. MSCT was compared with RIPASA and Alvarado scores for diagnosing AA. RESULTS: Of 297 patients included, sensitivity, specificity and accuracy for diagnosing AA were 95...
June 2015: Journal of International Medical Research
https://www.readbyqxmd.com/read/25460447/appendiceal-diverticulum-associated-with-chronic-appendicitis
#14
Gregorio Zubieta-O'Farrill, José Raúl Guerra-Mora, Andrés Gudiño-Chávez, Carlos Gonzalez-Alvarado, Gilberto Bernabe Cornejo-López, Eduardo Villanueva-Sáenz
INTRODUCTION: Appendiceal diverticulosis is a rare entity, with a global incidence between 0.004% and 2.1% of all appendectomies. It has been related with an elevated risk of perforation in comparison to acute appendicitis, as well as an increased risk for synchronic appendicular cancer in 48% of the cases, and colonic cancer in 43%. The incidence of chronic appendicitis has been reported in 1.5% of all appendicitis cases. PRESENTATION OF CASE: We present a 73-year-old female, with no relevant familial history, who presented due to a four-month-long oppressive, moderate pain in the lower right abdominal quadrant without irradiation or any other accompanying symptoms...
2014: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25323836/the-utility-of-acoustic-radiation-force-impulse-imaging-in-diagnosing-acute-appendicitis-and-staging-its-severity
#15
Cemil Göya, Cihad Hamidi, Mehmet Hanifi Okur, Mustafa Içer, Abdullah Oğuz, Salih Hattapoğlu, Mehmet Güli Cetinçakmak, Memik Teke
PURPOSE: The aim of this study was to investigate the feasibility of using acoustic radiation force impulse (ARFI) imaging to diagnose acute appendicitis. METHODS: Abdominal ultrasonography (US) and ARFI imaging were performed in 53 patients that presented with right lower quadrant pain, and the results were compared with those obtained in 52 healthy subjects. Qualitative evaluation of the patients was conducted by Virtual Touch™ tissue imaging (VTI), while quantitative evaluation was performed by Virtual Touch™ tissue quantification (VTQ) measuring the shear wave velocity (SWV)...
November 2014: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/25078937/the-accuracy-of-the-alvarado-score-in-predicting-acute-appendicitis-in-the-black-south-african-population-needs-to-be-validated
#16
Victor Y Kong, Stefan van der Linde, Colleen Aldous, Jonathan J Handley, Damian L Clarke
BACKGROUND: The Alvarado score is the most widely used clinical prediction tool to facilitate decision-making in patients with acute appendicitis, but it has not been validated in the black South African population, which has much wider differential diagnosis than developed world populations. We investigated the applicability of this score to our local population and sought to introduce a checklist for rural doctors to facilitate early referral. METHODS: We analyzed patients with proven appendicitis for the period January 2008 to December 2012...
August 2014: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/24970111/a-new-adult-appendicitis-score-improves-diagnostic-accuracy-of-acute-appendicitis-a-prospective-study
#17
Henna E Sammalkorpi, Panu Mentula, Ari Leppäniemi
BACKGROUND: The aim of the study was to construct a new scoring system for more accurate diagnostics of acute appendicitis. Applying the new score into clinical practice could reduce the need of potentially harmful diagnostic imaging. METHODS: This prospective study enrolled 829 adults presenting with clinical suspicion of appendicitis, including 392 (47%) patients with appendicitis. The collected data included clinical findings and symptoms together with laboratory tests (white cell count, neutrophil count and C-reactive protein), and the timing of the onset of symptoms...
2014: BMC Gastroenterology
https://www.readbyqxmd.com/read/24768483/false-negative-appendicitis-at-ultrasound-nature-and-association
#18
Patwadee Piyarom, Rathachai Kaewlai
The objective was to describe nature and factors associated with false-negative ultrasound (US) for adult appendicitis. Patients with pathologically proven appendicitis and pre-operative US from January 2011 to May 2013 were included in this retrospective case-control study. They were divided into true-positive and false-negative groups, matched by age and gender. There were 112 patients (40 men, mean age = 40 y, 56 true positives) included. Two factors were found differ significantly: abdominal wall thickness and pain score...
July 2014: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/24740332/evaluation-of-the-alvarado-score-in-acute-abdominal-pain
#19
Hamid Kariman, Majid Shojaee, Anita Sabzghabaei, Rosita Khatamian, Hojjat Derakhshanfar, Hamidreza Hatamabadi
BACKGROUND: The Alvarado score is utilized to determine the likelihood of appendicitis based on clinical signs, symptoms, and laboratory results. The goal of this study was to determine whether Alvarado scores can be used to aid in the accurate diagnosis of appendicitis. METHODS: Alvarado score evaluations were performed on 300 patients that were referred to or presented to the emergency room with acute abdominal pain. RESULTS: Out of the 300 patients, 85...
March 2014: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/24727207/intussusception-secondary-to-a-carcinoid-tumor-in-an-adult-patient
#20
Isidoro Wiener-Carrillo, Carlos González-Alvarado, Mario Cervantes-Valladolid, Denis Echaverry-Navarrete, Gregorio Zubieta-O'Farrill, Andrés Gudiño-Chávez
INTRODUCTION: Intussusception in adult patients represents 5% of all intussusceptions and 1-5% of bowel obstructions in adults. In contrast to pediatric patients, 90% of the time, in adults, it's caused by well-established pathologic mechanisms, such as carcinoma, polyps, diverticula, Meckel diverticula, stenosis, or benign neoplasms. Small intestine intussusceptions are more frequent, but colonic intussusceptions are caused 50% of the time by malignant neoplasms, especially adenocarcinoma...
2014: International Journal of Surgery Case Reports
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