appendicits

The Publisher regrets that this article is an accidental duplication of an article that has already been published, doi:10.1016/j.jchir.2009.09.002. The duplicate article has therefore been withdrawn.

Acute appendicitis is the most common surgical indication in Africa. It is associated with higher mortality and morbidity than in industrialized countries. The purpose of this prospective 100 case study was to evaluate diagnostic, clinical and paraclinical features as well as surgical modalities especially with regard to approach and postoperative recovery in patients that underwent surgical treatment for appendicitic syndromes over a 9-month period at our institution. Analysis of study data confirmed that surgical indications could be established based on clinical examination alone and that adjuvant investigations only delayed therapy while providing little specific, useful information...

The diagnosis of Amyand's hernia, the development of acute appendicits within an inguinal hernia, is rarely made preoperatively and is often confused clinically with an incarcerated right inguinal hernia. The use of CT to prospectively diagnose Amyand's hernia and corresponding imaging findings are not well described in the literature. We report a case of Amyand's hernia, which was correctly diagnosed by CT in a female patient presented to the emergency department with right lower quadrant pain and clinical suspicion of a strangulated omentocele...

OBJECTIVE: Decision making in cases of acute appendicitis may be difficult specially for junior surgeons. Radiological investigations do not appear to be helpful. In some studies, the Modified Alvarado Scoring System (MASS) was helpful in minimizing unnecessary appendicectomies. The aim this study was to evaluate the sensitivity of MASS in the diagnosis of acute appendicitis in adults. METHODS: All adult patients aged 16-years and above who were admitted with a provisional diagnosis of acute appendicitis between January 2001 and January 2002, into the Armed Forces Hospitals, Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia were prospectively entered into this study...

Primary tumors of the appendix are rare and most of them are unrecognized preoperatively, presenting as appendicits, pelvic masses or with no typical abdominal pain. Two cases of mucinous tumors of the appendix presenting as primary ovarian tumors are described. It is important for the gynecologist-oncologist to include mucinous tumors of the appendix into the differential diagnosis of any case of mucinous ovarian tumor and peritoneal pseudomyxoma, especially when these tumors are associated with extraovarian disease...

No abstract text is available yet for this article.

The parameters that indicate the quality of patient care in acute appendicits (AA) were evaluated. One hundred sixty-four patients, who underwent emergency appendectomy (EA) at the B.P. Koirala Institute of Health Sciences, Dharan, Nepal were studied prospectively. The mean duration of the symptoms was 42.2 +/- 69.5 hours (range 2-720 hours, median 24 hours). The mean waiting period in the hospital was as 12.7 +/- 21.8 hours (range 1-188 hours, median 7 hours). Special investigations' such ultrasonography, computed tomography or laparoscopy, were not used for diagnosis...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

The authors summarize the special characteristics of the acute appendicit and the pregnancy. He pays attention on the symptoms, which made the diagnosis, laboratory analyses and differences with the most common obstetrics-gynaecological diseases. We have studied the main surgical techniques for make operation during Caesarean section. In the cases when there are noncomplicated delivery and acute appendicitis, we have to make an operation and the delivery occurs normal vaginal.

Use of the eponyms "Point of McBurney or Lanz" for localisation of abdominal tenderness in appendicits is of little clinical value and confusing to the medical student. "Right lower quadrant" is more appropriate. "Rovsing's sign" and its proposed patho-mechanism are invalid and should be discarded. Differences in axillar and rectal temperatures are non-specific for appendicitis. German surgical textbooks should be revised accordingly.

STUDY OBJECTIVE: To determine whether transfer of patients with appendicits from one hospital to another because of lack of insurance is a risk factor for rupture. METHODS: We identified the charts of all male patients ages 15 to 50 with appendicitis who presented from 1990 through 1994 at a county hospital that commonly accepts transfers of uninsured patients with a presumptive diagnosis of appendicitis. We retrospectively reviewed the charts of 69 consecutive transferred patients and 154 randomly selected controls...

Acute appendicitis is the most common condition requiring emergency operation in children. Late appendicitis is still a major source of morbidity and potential mortality. It has been suggested that managed care programs are responsible for a delay in surgical referral and consequently an increased risk of morbidity and mortality. In light of the increasing use of managed care, the authors reviewed their experience with pediatric acute appendicitis in managed care and indemnity insurance patients. The charts of all pediatric appendectomy patients treated between January 1990 and March 1995 were reviewed...

Acute appendicitis is the first cause of emergency surgery in children. Actually, emergency abdominal sonography has evolved in differential diagnosis of acute appendicitis in children to differentiate it from other causes of acute abdomen as mesenteric lymphoadenitis, acute right pyelonephritis, acute diverticulitis in Meckel's diverticulum, intestinal intussusception, regional enterits, primary peritonitis, anaphylactoid purpura of Henoch-Schonlein. The aim of this study is the evaluation of the usefulness of abdominal sonography in diagnosing acute appendicitis in our current series of pediatric patients...

A case of coincident acute appendicitis and hemorrhagic corpus luteal cyst is presented. The difficulty of differentiating acute appendicits from gynecological problems is discussed. In addition, prior simultaneous occurrences of other abdominal emergencies with acute appendicitis are reviewed.

Most operations on elderly patients are of an urgent nature. If time permits, measures to improve cardiac, respiratory and renal functions in the appropriate ways should be undertaken. During recovery from anesthesia careful but adequate sedation will reduce the risk of myocardial ischemia. Throughout the postoperative period constant encouragement of the older patient is particularly helpful.Transverse abdominal incisions and the frequent use of temporary gastrostomy are advocated.External hernia, hiatus hernia, peptic ulcer, carcinoma of the stomach, biliary disease, appendicits, intestinal obstruction, and carcinoma of the large intestine are discussed specifically, with special reference to the practical details of management in the elderly patient...