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Pain abdominal alvarado

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https://www.readbyqxmd.com/read/28442835/how-much-reliable-is-alvarado-scoring-system-in-reducing-negative-appendectomy
#1
Mehmet Tahsin Tekeli, Enver Ilhan, Orhan Ureyen, Abdullah Senlikci, Eyup Yeldan, Mucteba Ozturk, Mehmet Akif Ustuner, Ugur Gokcelli, Emrah Dadali, Fevzi Cengiz, Savas Yakan
There is still an ongoing debate, especially regarding early diagnosis of acute appendicitis. Early surgery leads to inadequate evaluation of acute abdominal pain and negative appendectomy, whereas delayed surgery leads to appendicitis perforation complications. The diagnosis of this condition is considerably difficult, especially due to subtle early symptoms and clinical condition. The aim of the present study was to identify whether the Alvarado scoring system could reduce the incidence of negative appendectomy in patients who will undergo surgery for acute appendicitis...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28261767/should-alvarado-and-ohmann-scores-be-real-indicators-for-diagnosis-of-appendicitis-and-severity-of-inflammation
#2
Eyüp Murat Yılmaz, Mücahit Kapçı, Sebahattin Çelik, Berke Manoğlu, Mücahit Avcil, Erkan Karacan
BACKGROUND: Acute appendicitis is one of the most common causes of abdominal pain seen in surgical clinics. Although it can be easily diagnosed, the picture may be confusing, particularly in premenopausal women and the elderly. The present study is an evaluation of 2 of the current scoring systems with respect to accurate diagnosis of the disease and indication of inflammation severity. METHODS: A total of 105 patients diagnosed with acute appendicitis were included in the study...
January 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28202345/circulating-human-leucine-rich-%C3%AE-2-glycoprotein-1-mrna-and-protein-levels-to-detect-acute-appendicitis-in-patients-with-acute-abdominal-pain
#3
T H Rainer, L Y Leung, Cpy Chan, Y K Leung, N M Cheng, Pbs Lai, Y S Cheung, C A Graham
BACKGROUND: Elevated levels of circulating plasma and urine leucine-rich-2-glycoprotein-1 (LRG1) protein has been found in patients with acute appendicitis (AA) and may be useful for diagnosis. This study aimed to investigate whether combined tests including circulating LRG1 mRNA levels improve the early diagnosis of AA. METHODS: Between December 2011 and October 2012, a prospective study was conducted on patients aged 18years or older presenting to the ED with acute abdominal pain (<7days of symptom onset)...
February 12, 2017: Clinical Biochemistry
https://www.readbyqxmd.com/read/28167457/laparoscopic-diagnosis-and-repair-of-spigelian-hernia-a-case-report-and-literature-review
#4
Raul Mederos, Jose R Lamas, Javier Alvarado, Moises Matos, Ivett Padron, Anika Ramos
INTRODUCTION: Spigelian hernias are a rare type of hernia which protrude through the abdominal wall at the semilunar line. They are especially difficult to diagnose due to their location and non-specific symptoms and are often overlooked because of their positioning between muscular layers. Patients may present with localized pain which can aid the diagnosis. CT and ultrasound are also helpful. PRESENTATION OF CASE: We present the case of a 75-year-old female patient who presented to Hialeah Hospital with a one-year history of abdominal pain localized to the left lower quadrant...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27980858/influence-of-toxoplasma-gondii-infection-on-symptoms-and-signs-of-premenstrual-syndrome-a-cross-sectional-study
#5
Cosme Alvarado-Esquivel, Luis Francisco Sánchez-Anguiano, Jesús Hernández-Tinoco, Alma Rosa Pérez-Álamos, Yazmin Del Rosario Rico-Almochantaf, Sergio Estrada-Martínez, Raquel Vaquera-Enriquez, Arturo Díaz-Herrera, Agar Ramos-Nevarez, Ada Agustina Sandoval-Carrillo, José Manuel Salas-Pacheco, Sandra Margarita Cerrillo-Soto, Elizabeth Irasema Antuna-Salcido, Oliver Liesenfeld, Carlos Alberto Guido-Arreola
Infection with Toxoplasma gondii in brain may cause some symptoms that resemble those in women with premenstrual syndrome. To determine the association of T. gondii infection with symptoms and signs of premenstrual syndrome, we examined 489 women aged 30-40 years old. Sera of participants were analyzed for the presence of anti-Toxoplasma IgG and IgM antibodies using enzyme-linked immunoassays (EIA) and T. gondii DNA by polymerase chain reaction (PCR). Anti-T. gondii IgG antibodies were found in 38 (7.8%) of the women studied...
December 1, 2016: European Journal of Microbiology & Immunology
https://www.readbyqxmd.com/read/27955852/-chronic-appendicitis-due-to-multiple-fecaliths-a-case-report
#6
Álvaro José Montiel-Jarquín, Celso Ramírez-Sánchez, Eugenio García-Cano, Nicolás González-Hernández, Fabiola Rodríguez-Pérez, Ivan Alvarado-Ortega
BACKGROUND: The appendix inflammatory process is the most common cause of chronic abdominal pain in the right lower quadrant. The frequency of appendiceal lumen obstruction by fecalith ranges from 10 to 20%; few cases of obstruction by multiple fecaliths had been reported. CLINICAL CASE: Sixty-nine years old male, diabetic and hypertensive in control, he underwent bowel resection 30 years previously. He completed 6 months with intermittent, mild pain in the right lower quadrant abdomen; 14 days prior to admission with increasing pain, nausea, vomiting, constipation, abdominal distension and absence of peristalsis; 12,750 leukocytes, neutrophils 90%; plain abdominal radiography without specific bowel pattern, TAC with 3 dense images in right lower quadrant; exploratory laparotomy was performed and perforated appendix with 3 free fecaliths was found...
December 9, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27625212/incidence-of-normal-white-cell-count-and-c-reactive-protein-in-adults-with-acute-appendicitis
#7
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
#8
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...
December 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27452941/an-unexpected-discovery
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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...
November 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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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