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Cüneyt Ayrık, Ulaş Karaaslan, Ahmet Dağ, Seyran Bozkurt, İbrahim Toker, Filiz Demir
BACKGROUND: The present study aimed to investigate the predictive importance of cut-off levels of preoperative WBC, neutrophil and CRP concentrations in operated appendicitis patients. METHODS: Patients operated for acute appendicitis between January 2008 and November 2010 were retrospectively screened. Patients were divided into three groups according to postoperative histopathology. Group I: normal appendix, Group II: Uncomplicated appendicitis, Group III: complicated appendicitis...
January 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Sonja Kinner, Michael D Repplinger, Perry J Pickhardt, Scott B Reeder
OBJECTIVE: The purpose of this article is to describe our approach to contrast-enhanced abdominal MRI in patients with nontraumatic abdominal pain and suspected appendicitis. We aim to share our experience on the advantages, pearls, and pitfalls of MRI in this clinical setting, in comparison with CT and ultrasound. CONCLUSION: We present some typical cases of appendicitis and alternative diagnoses in patients presenting with acute nontraumatic abdominal pain.
July 2016: AJR. American Journal of Roentgenology
A H Davies, F Bernau, A Salisbury, R G Souter
C-reactive protein (CRP) and full blood counts were performed on 60 consecutive patients admitted with right iliac fossa pain. Of these, 31 patients had appendicitis and six had a negative appendicectomy. The CRP was raised in 29 (94%) patients with appendicitis and was not raised in five (83%) patients who underwent a negative appendicectomy. In the cases of appendicitis the CRP was significantly raised more often than the white blood cell count (WBC) (P less than 0.05, chi 2 = 3.98). In 30 (97%) patients who had appendicitis the CRP or white blood cell count was elevated...
August 1991: Journal of the Royal College of Surgeons of Edinburgh
S Erkasap, E Ates, Z Ustuner, A Sahin, S Yilmaz, B Yasar, H Kiper
The aim of this study is prospectively to evaluate the serum C-reactive protein (CRP) and interleukin-6 (IL-6) levels in detection of acute appendicitis in patients with right iliac fossa pain. Data were collected in prospective manner on 102 consecutive patients with right iliac fossa pain. Laparotomy was performed for suspected acute appendicitis for 55 of the 102 patients, of whom 49 patients had appendicitis, 6 patients non-appendicitis (NA), and the other 47 patients had nonspecific abdominal pain (NSAP) and they did not undergo operation...
2000: Swiss Surgery, Schweizer Chirurgie, Chirurgie Suisse, Chirurgia Svizzera
Margaret Menoch, Harold K Simon, Daniel Hirsh, Young Shim, Amy L Baxter, Matthew Clifton, Daniel Kim, Jesse J Sturm
BACKGROUND: Little is known regarding the effect of different emergency department (ED) practice models on computed tomography (CT) and ultrasound (US) utilization for suspected appendicitis in the ED and through the potential inpatient hospital stay. OBJECTIVES: Examination rates of CT and US for suspected appendicitis at 2 different pediatric EDs (PEDs) through hospital admission: an academic affiliated tertiary PED (site A) compared with a private practice tertiary care PED (site B)...
April 5, 2016: Pediatric Emergency Care
Rick C Place
Acute urinary retention is unusual in childhood and when present is likely to have an identifiable cause. Although the evaluation is often performed by the urologic specialist after relief of the obstruction, it is imperative that some causes be identified in the Emergency Department. This is a case of a 9-year-old boy in acute urinary retention caused by a ruptured appendix with a periappendiceal abscess.
August 2006: Journal of Emergency Medicine
G A Parrish, G D Wright, J L Falk
Emergency physicians frequently encounter patients with acute urinary retention. Although most common among the elderly, pediatric and young adult patients occasionally may present with this complaint. The differential diagnosis and emergency department work-up must be age specific. We discuss the case of a young man who presented with acute urinary retention, subsequently found to be caused by undiagnosed appendicitis with appendiceal abscess formation. Only nine such cases have been reported in the literature thus far, with only one occurring in the nonpediatric population...
May 1993: Annals of Emergency Medicine
Chun-Chu Liu, David H T Yen, Ching-Liang Lu, Chii-Hwa Chern, Chen-Hsen Lee
BACKGROUND: Urological manifestations are rare in acute appendicitis. Although acute urinary retention (AUR) is more commonly found in elderly patients, any previous cases reported have been under the age of 30. OBJECTIVE: The aim of this study was to investigate the incidence, clinical presentation, and results of adult appendicitis patients presenting with AUR. AUR is defined as the sudden inability to urinate with obstructive symptoms. METHODS: A retrospective case note review of 480 adult patients (>/=18 years) with appendicitis, diagnosed at the Veterans General Hospital-Taipei over a 3-year period, was carried out...
November 2002: Gerontology
Marshall Ross, Sasha Selby, Naveen Poonai, Helena Liu, Shabnam Minoosepehr, Graham Boag, Robin Eccles, Graham Thompson
OBJECTIVES: We examined the effect of a full bladder on proportions of diagnostic ultrasound (US) studies in children with suspected appendicitis. We also examined the effect of a full bladder on proportions of fully visualized ovaries on US in children with suspected appendicitis. METHODS: We conducted a retrospective health record review of children aged 2-17 years presenting to a tertiary pediatric emergency department (ED) with suspected appendicitis who had an ultrasound performed...
April 4, 2016: CJEM
N Kulvatunyou, M Schein
No abstract text is available yet for this article.
July 2001: Surgical Endoscopy
N R Patel, S Lakshman, T V Hays, E Thomas
No abstract text is available yet for this article.
January 1996: Journal of Clinical Ultrasound: JCU
M M Arbatli, L Kuscu, A C Dorak, A Saray, N I Tamac, S Isik
No abstract text is available yet for this article.
May 1993: Journal of Clinical Ultrasound: JCU
Gabriel Rodrigues, Faris Al Aswad
No abstract text is available yet for this article.
May 18, 2015: ANZ Journal of Surgery
Sooah Kim, Hyo K Lim, Ji Yeon Lee, Jongmee Lee, Min Ju Kim, And Soon Jin Lee
OBJECTIVE: To describe the clinical presentation and computed tomographic (CT) features of ascending retrocecal appendicitis. METHODS: During the past 8 years, 1670 patients with surgically proven appendicitis were identified by a retrospective investigation. Thirty-three patients who underwent contrast-enhanced abdominal CT before surgery and had ascending retrocecal appendicitis at surgery were included in the patient cohort. The clinical and CT findings of these 33 patients were analyzed...
September 2006: Journal of Computer Assisted Tomography
Oktay Algın, Evrim Özmen, Ayşenur Sirin Özcan, Sehnaz Erkekel, Mustafa Karaoğlanoğlu
Subhepatic-retrocecal appendicitis is a rare entity in which the diagnosis is challenging. In patients presenting with right abdominal pain with atypical clinical, laboratory and ultrasound (US) findings, acute appendicitis should be eliminated with computed tomography (CT). Multi-detector CT (MDCT) can be used effectively for the diagnosis of retrocecal appendicitis without additional preparation or focused examination. Here, we present a patient with acute subhepatic-retrocecal appendicitis in whom the clinical and US findings mimicked acute cholecystitis...
January 2013: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Cindy Oakenful, Andreas L Lambrianides, Jason Brown
No abstract text is available yet for this article.
November 2011: American Surgeon
Eugene Mun Wai Ong, Sudhakar Kundapur Venkatesh
Acute appendicitis is a common surgical condition that is usually managed with early surgery, and is associated with low morbidity and mortality. However, some patients may have atypical symptoms and physical findings that may lead to a delay in diagnosis and increased complications. Atypical presentation may be related to the position of the appendix. Ascending retrocecal appendicitis presenting with right upper abdominal pain may be clinically indistinguishable from acute pathology in the gallbladder, liver, biliary tree, right kidney and right urinary tract...
July 28, 2009: World Journal of Gastroenterology: WJG
S Elangovan
BACKGROUND: Early diagnosis and surgery are important factors by which the morbidity and mortality of acute appendicitis in elderly patients can be lowered. This study was conducted to determine clinical and laboratory results that are commonly associated with acute appendicitis in elderly patients. METHODS: A retrospective chart review was conducted of patients aged 60 years or older who underwent appendectomy or laparotomy for suspected acute appendicitis during a 5-year period in a metropolitan county...
March 1996: Journal of the American Board of Family Practice
Ching-Chung Tsai, Shin-Yi Lee, Fu-Chen Huang
We report a child of elongated retrocecal appendicitis who presented with abdominal pain over the right upper quadrant and circular skin erythema over the right flank. Sonography showed an elongated tubular structure over the right abdomen. By the location, relationship to adjacent tissue and origin of tubular structure, the sonographic findings were differentiated from those of other similar diseases, such as colonic duplication or Meckel's diverticulum. This case illustrates retrocecal appendicitis should be considered as one of the differential diagnoses for earlier surgical intervention if a patient exhibits such atypical clinical manifestations accompanied with an elongated tubule structure of the right abdomen by sonography...
March 2006: Acta Paediatrica Taiwanica, Taiwan Er Ke Yi Xue Hui za Zhi
Sami Akbulut, Abdullah Ulku, Ayhan Senol, Mahmut Tas, Yusuf Yagmur
AIM: To give an overview of the literature on left-sided acute appendicitis (LSAA) associated with situs inversus totalis (SIT) and midgut malrotation (MM). METHODS: We present a new case of LSAA with SIT and a literature review of studies published in the English language on LSAA, accessed via PubMed and Google Scholar databases. RESULTS: Ninety-five published cases of LSAA were evaluated and a 25-year-old female, who presented to our clinic with left lower abdominal pain caused by LSAA, is reported...
November 28, 2010: World Journal of Gastroenterology: WJG
2016-04-04 17:55:20
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