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Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The radiological findings in 93 children operated on for acute appendicitis were reviewed retrospectively; acute appendicitis was confirmed in 76 (81%). These children were compared with 40 children with abdominal pain, but without appendicitis. Pre-operative radiographs in the children with appendicitis showed a significantly higher incidence of scoliosis, properitoneal line displacement, caecal dilatation with air/fluid levels and terminal ileal dilatation with air/fluid levels. The incidence of radiologically demonstrable faecaliths was not statistically higher in the children suffering from acute appendicitis. In children under the age of 4 years, in whom the diagnosis of acute appendicitis is often difficult, the radiological signs are helpful.
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PMID:The radiological signs of acute appendicitis in infancy and childhood. 65 71

The authors analyzed 2009 appendicitis case records for the period from 1964 to 1973. In a sea climate region an evident season distribution of the apendicitis morbidity was found, with the rise of the incidence rate in January, March and April. The rise of the appendicitis incidence rate during the periods of vast fluctuations of air temperature, increase of air humidity and decrease of actual duration of sun radiance was established. The rise of the incidence of acute appendicitis was also noted during the months of a great and extremely great magnetic storms.
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PMID:[Nature of the relation of acute appendicitis morbidity to meteorological and heliogeophysical factors]. 65 16

The authors present the results of the studies of the intensity of plasma super-weak chemical luminescence for the diagnosis of acute appendicitis (35 cases) and various forms of cholecystitis (131 cases). The increase of the intensity level of the blood plasma chemical luminescence has been found in all the forms of cholecystitis and in appendicitis. With the improvement of the patients condition the indices of the luminescence intensity start to normalize. On the grounds of their observations the authors consider that the use of this method in surgical practice will provide information on an early development of complications before their evident clinical manifestations occur.
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PMID:[Diagnostic and prognostic importance of the intensity of the blood plasma superweak intrinsic luminescence in acute surgical diseases of the abdominal cavity organs]. 69 72

A special study of the character and sensitivity of microbic flora of the abdominal cavity exudate in acute appendicitis was carried out upon 192 patients. The predominance of infection caused by colibacillus (44%) and correlation between the severity of the inflammatory process and the presence of the agent in the exudate were proved. The identification of the sensitivity of the cultured microbes to the most widely used antibiotics allows to recommend a combined use of the preparations of neomycin sulfate group and synthetic penicillins for the treatment of complicated appendicitis.
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PMID:[Characteristics of the microbial flora of the abdominal cavity in acute appendicitis]. 71 49

Ovarian vein thrombosis, with rare exceptions, is a puerperal process that often mimicks appendicitis but may be recognized only in retrospect as a source of continued pulmonary embolization. Ovarian vein thrombosis may also accompany septic pelvic thrombophlebitis and constitute a life-threatening problem. Ovarian vein thrombosis probably exists in a subclinical form as well, and the relative infrequency of reports of this entity attest to the lack of clinical recognition rather than to its clinical rarity. Most instances of ovarian vein thrombosis will respond to antibiotics, anticoagulation, hydration and bed rest but, when septic in etiology, interruption of the vena cava and ovarian veins may be required. Acute appendicitis, the most frequent misdiagnosis, often leads to exploration, and careful resection of the affected vein in such patients generally results in cure.
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PMID:Surgical implications of ovarian vein thrombosis. 73 73

Contrary to popular belief, the barium enema is a safe diagnostic tool in the management of acute appendicitis. This is a survey of our experience over three years with 489 cases of suspected acute appendicitis. Two hundred eighteen barium enema examinations were done. The barium enema has a high degree of pathological correlation (97.14%). It has reduced negative surgical exploration in women between 11 and 40 years of age. This group traditionally represents the greatest diagnostic challenge in appendicitis. As a result, our negative exploration rate has been reduced to a figure below the average for this disease. We recommend its performance in all patients who pose a diagnostic dilemma.
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PMID:The value of the barium enema in the diagnosis of acute appendicitis. 84 64

Many articles published in the medical literature have stated that a normal-appearing appendix as seen via contrast enema is inconsistent with the diagnosis of acute appendicitis. This assumes that appendicitis is always associated with complete luminal obstruction of the appendix, and that the length of the normal appendix is known to the interpreter of the x-ray examination. Retrospective analysis of the barium contrast studies of three patients found to have acute appendicitis demonstrated the limitations of this hypothesis. These patients were diagnosed as having acute appendicitis at operation in spite of radiologic evidence of normal-appearing appendices. We review radiologic findings that can be helpful in recognizing this condition and discuss the severe limitations of barium contrast studies in making an accurate diagnosis.
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PMID:Radiologic diagnosis of appendicitis. 86 Sep 23

Eleven patients were operated on for acute appendicitis during pregnancy, in labor or during the puerperium. All patients had acute, gangrenous or perforated appendicitis. There was no fetal or maternal mortality, although three patients developed postoperative pneumonia, pelvic phlegmon or wound infection. The physical findings of appendicitis are altered by the displacement of the appendix by the uterus. The white blood counts must be interpreted with the leukocytosis of pregnancy in mind.
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PMID:Acute appendicitis associated with pregnancy, labor and the puerperium. 86 30

A case of carcinoma of the caecum is reported, which presented as acute appendicitis, although the carcinoma did not obstruct either the lumen of the appendix or the colon. The prognosis for caecal or proximal colonic neoplasm presenting as appendicitis is poor. This is in part due to the association being missed at the initial laparotomy. It is suggested that a more aggessive attitude should be taken in the pre- and post-operative management of any patient over 50 years of age who presents with appendicitis. The difficulties of identifying a small tumour at laparotomy even if the mucosa can be palpated are emphasized.
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PMID:Acute appendicitis in association with non-obstructive carcinoma of the caecum. 87 Aug 96

Acute appendicitis is the most common of surgical emergencies. However, it is very unusual to find a benign neoplastic lesion causing appendicitis. Adenomas of the caecum or the appendix are rare and very few cases of these associated with appendicular inflammation have been described. This report presents a case of acute appendicitis with perforation resulting from obstruction by an adenoma. The management of the condition is discussed.
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PMID:Villous adenoma causing acute appendicitis. 89 Feb 85


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