Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

It is possible to estimate the category and volume of lost liquid in patients who have become acutely depleted of body fluids by measuring the haematocrit and plasma protein concentration in venous blood samples. Three recent examples of different categories of loss are presented: plasma loss in pancreatitis, extracellular fluid (saline) loss in paralytic ileus, and mixed plasma and extracellular fluid loss in peritonitis complicating acute appendicitis. Goood clinical results were achieved by infusion of appropriate volumes of either plasma or saline so as to restore the haematocrit and plasma protein concentration to their presumptive basal values.
 ...
PMID:A simple clinical approach to quantifying losses from the extracellular and plasma compartments. 43 51

Relaparotomies in the early postoperative period had to be performed after abdominal gynaecologic procedures in 1,180/00 after vaginal operations in 0,180/00 and after caesarean sections in 3,910/00 of all cases. The indications for the reoperation were: intestinal obstruction (6), hemorrhage (4), paralytic ileus (3), defect of the uterine wall after caesarean section (1) and after enucleation of a fibroid (1), acute appendicitis (1) and peritoneal shock (1). After the 2nd operation 2 patients died; 1 relaparotomy could have been avoided if a septic thrombosis of the right ovarian vein would not have been mistaken for an acute appendicitis.
 ...
PMID:[Early abdominal second interventions following gynecologic surgery]. 118 61

Gastrointestinal complications of Legionnaires' disease are frequently reported. These include diarrhoea, paralytic ileus, acute appendicitis and jaundice. We would like to report the previously unrecorded and life-threatening complication of acalculous cholecystitis.
 ...
PMID:Acalculous cholecystitis complicating Legionnaires' disease. 210 46

The experience with the treatment of dynamic ileus (DI) in 305 children with acute appendicitis after the operation is presented. Among the other measures, in the treatment of DI, the two-lumen transnasal probe for unloading the initial portion of the stomach and intestine, created by the authors, was used. There were no relaparotomies for acute paralytic ileus and lethal outcomes.
 ...
PMID:[Treatment of dynamic intestinal obstruction in children]. 277 Jan 78

The dilated transverse colon sign in acute appendicitis has not been described previously. However, it was noted in 10 of 82 patients with acute appendicitis, and in all 10 cases, perforation had occurred. Since this sign was not seen in nonperforated appendicitis, it is believed to be one of the earliest, if not the earliest, radiographic signs of perforation. It is believed to result from a combination of paralytic ileus of the transverse colon and spasm of the ascending colon, and once appreciated, becomes a valuable asset in the plain film assessment of appendicitis.
 ...
PMID:Appendicitis with perforation: the dilated transverse colon sign. 677 99

Two cases of acute abdomen--because of acute appendicitis and paralytic ileus--due to cytomegalovirus infection in AIDS patients are reported. In both patients evolution was subacute and cytomegalic inclusions were seen in the histologic examination of the surgical samples. The two patients died after surgery. The possibility of cytomegalovirus infection must be kept in mind in AIDS patients who undergo urgent abdominal laparatomy and early treatment should be instituted.
 ...
PMID:[Acute abdomen due to cytomegalovirus in AIDS patients. Apropos 2 cases]. 796 67

Proponents of laparoscopic appendectomy emphasize the advantages of laparoscopic operation--decreased hospitalization, paralytic ileus, postoperative pain and wound complications, including infection. This study compared open laparoscopic appendectomy with laparoscopic appendectomy. To compare the two techniques, patients undergoing laparoscopic appendectomy at four hospitals were compared with patients undergoing open appendectomy during a six month period. Excluded were incidental appendectomies and patients with perforated appendicitis. An equal number of pediatric patients undergoing laparoscopic and open procedures were included in the analysis to avoid bias, because most of the laparoscopic appendectomies were performed in the adult patient population (age of more than 16 years). A University Medical Center, a Veterans Administration and two community hospitals were the settings. Patients undergoing laparoscopic appendectomy (n = 54) had an average age of 25.7 +/- 1.5 (range of six to 59 years). These patients were compared with 121 patients undergoing open appendectomy whose average age was 23.7 +/- 1.8 (range of three to 83 years). The race and gender distribution were similar in the two groups. Traditional open appendectomy was compared with a group of patients undergoing laparoscopic appendectomy. Variables evaluated were operating room time, number of patients who reported nausea, days until patient tolerated a regular diet, days of hospitalization, postoperative pain medication and wound infection rate. Results are expressed as the mean plus or minus standard error of the mean. Analysis of variance was used to compute continuous variables and Fischer's exact test was used for discrete variables. The laparoscopic approach was attempted in 61 patients and completed in 54 patients. Open appendectomy was performed upon 121 patients. Nineteen patients (18 who underwent open operation and one patient who underwent laparoscopic operation) were excluded from further analysis because of perforated appendicitis. The open procedure took less time (p < 0.05). However, there were more wound infections than in the laparoscopic group (seven of 103 versus zero of 53; p = 0.09). Patients with acute appendicitis recuperated more quickly from the laparoscopic procedure, as evidenced by the time until eating regular diet, period of hospitalization, incidence of nausea and pain medications on postoperative day one (p < 0.05). The absence of wound infections after laparoscopic appendectomy can be attributed to the practice of placing the appendix in a sterile bag or into the trocar sleeve before removal from the abdomen. Laparoscopic appendectomy reduces the period of hospitalization, postoperative ileus, nausea and postoperative pain in patients with acute appendicitis.(ABSTRACT TRUNCATED AT 400 WORDS)
 ...
PMID:A review of the results of laparoscopic versus open appendectomy. 821 99

A retrospective analysis of 224 patients was carried out to evaluate the outcome of elderly patients after operation for acute abdominal pain. The mean (+/- SD) age of the patients was 74.6 (+/- 6.4) years (range 65-96) and the male/female ratio was 104/120. The most common causes for an emergency operation were acute biliary disease (26%), acute appendicitis (18%), gastrointestinal cancer (11%) and incarcerated hernia (10%). Twenty-nine patients (13%) died during the one-month postoperative period. The most common causes of death were gastrointestinal cancer (24%), ischaemic heart disease (14%) and complicated peptic ulcer disease (14%). Ninety-two (41%) patients had non-lethal postoperative complications, the commonest of which were wound infection or dehiscence (28%), urinary tract infection (17%), and paralytic ileus (8%). Ten patients were reoperated on for postoperative complications. The mean hospitalization time was 12.5 days (range 1-99). The results in the analysis of the long-term outcome (mean follow-up time 21 months) revealed that 17% of the primarily survived patients had died. Living patients were satisfied with the treatment and only a few patients were institutionalised after surgery. We conclude that both the short-term and long-term outcome of elderly patients after an emergency abdominal operation is good in benign diseases, and active surgery is justified.
 ...
PMID:The outcome of elderly patients after operation for acute abdomen. 873 27

Salmonella spp. infections can be particularly challenging when they manifest as acute abdominal problems and lead to emergency surgery. Examples of such serious conditions are Salmonella-related intestinal perforation, gallbladder involvement, salpingitis, and peritonitis. Mesenteric lymphadenitis associated with Salmonella typhimurium mimics acute appendicitis and can make it difficult to establish a timely and definitive diagnosis in young patients who present with right lower abdominal pain. Paralytic ileus is a fairly common manifestation of Salmonella infection at all ages, but complete intestinal obstruction requiring surgical intervention is very rare. Because of the nature of the diagnostic process, a significant number of patients with Salmonella infection present with acute abdomen and undergo needless operations. This report describes the cases of 2 pediatric patients who underwent surgery to address persistent pain in the right lower abdominal quadrant and complete intestinal obstruction, respectively. The first patient had inflamed mesenteric lymph nodes that caused appendicitislike symptoms, and the second had dense adhesions between the mesentery and the terminal segments of the ileum that led to intestinal blockage. Serology results showed that both patients' titers for BO ("B and O agglutinating [BO]") antibodies rose to 1:640 in the week after their admission to hospital, a pattern and level that is indicative of S typhimurium infection. J Pediatr Surg 36:1849-1852.
 ...
PMID:Acute abdomen caused by Salmonella typhimurium infection in children. 1173 22

Analysis of hepatorenal perfusion was conducted in 44 patients, suffering an acute appendicitis. In 22 of them laparoscopic appendectomy was conducted, in 22--appendectomy, using a standard access in accordance with Volkovich-Dyakonov or Mac-Burney method. There was established more favourable impact of laparoscopic appendectomy conduction on hepatorenal postoperative perfusion, what is connected with lesser pain syndrome severity, influencing common hemodynamics, and more rapid elimination (or prophylaxis) of postoperative paralytic ileus, as well as better physical state of the patients.
 ...
PMID:[Characteristic of hepatorenal perfusion in patients with acute appendicitis]. 2388 6


1 2 Next >>