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

The infrequent occurrence of right colon diverticulitis in the developed West has led to a controversy in the management of this disease. In Singapore, we continued to avoid colectomy whenever possible because this disease is usually nonprogressive. We reviewed 68 patients treated by conservative surgery to evaluate the effectiveness of this treatment policy. Almost 70 percent of our patients were below 40 years of age, and the clinical presentation was indistinguishable from acute appendicitis. Diverticulectomy was done only for inflamed and perforated diverticula (25 cases), while the nonperforated diverticulum was left alone (40 cases). The inflammation invariably responded to antibiotic therapy. Only three patients had colonic resection since a malignant neoplasm could not be excluded. There were no adverse sequelae over a mean follow-up period of three and one-half years, except for one patient who had recurrent attacks of right colon diverticulitis necessitating colectomy. With this policy of management we encountered no mortality, and morbidity was acceptable.
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PMID:Surgical management of right colon diverticulitis. 164 6

The pathological records of appendicectomy specimens from patients with suspected acute appendicitis at the University Hospital of the West Indies during the 5-year period 1984-1988 were studied. The numbers of cases, their ages, sex and seasonal incidence were similar to those of other studies. The overall false positive diagnosis rate was 25% (16% in males, 38% in females). The main diagnostic difficulty was in young females in whom surgery for suspected appendicitis often proved unnecessary.
West Indian Med J 1991 Dec
PMID:Appendicectomy at the University Hospital of the West Indies (1984-1988). A retrospective review. 178 94

This paper presents a retrospective study on 279 cases of surgical acute abdomen seen and treated at the University of Port Harcourt Teaching Hospital over a period of about 2 1/2 years, September 1983-February 1986. The majority of the patients were in the second and third decades of life. Acute appendicitis and obstructed hernias were the commonest causes of surgical acute abdomen, while abdominal pain and vomiting were the commonest symptoms. Only two patients in the series had acute pancreatitis. The overall mortality was 13.3%.
West Afr J Med
PMID:Pattern of surgical acute abdomen in the University of Port Harcourt Teaching Hospital. 227 24

Thirteen cases of primary appendicular adenocarcinoma are reported. This rare tumour usually presents as acute appendicitis. The correct diagnosis is rarely entertained before or during surgery. The main treatment choice lies between appendicectomy alone and appendicectomy followed by right hemicolectomy. There are anatomical reasons for advising the latter and survival figures from the literature tend to support this preference. The cases reported here indicate that in the period 1972-1984, in the North West Region, there was a slight preference for appendicectomy alone. The additional procedure of right hemicolectomy did not confer any clear-cut survival advantage.
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PMID:Primary adenocarcinoma of the appendix. 223 12

In a prospective 5-year investigation of acute appendicitis 603 consecutive patients with the disorder were studied in detail. Of this number 388 (64.3%) were female and 215 (35.7%) male giving a female: male ratio of 1.8:1. The patients were aged 4-65 years with a median age of 23.1 years; females with a median age of 22.1 years were younger than males with a median age of 25.4 years. Patients presented to hospital late: 3-7 days (median 5 days) from the onset of symptoms; the strikingly most common of these was abdominal pain seen in all the patients, and tenderness, local or with rebound was uniformly elicited. Supportive laboratory and radiological services were not regularly available; however, when white cell count was obtainable leucocytosis with a left shift was a useful finding. At operation 422 (70%) patients had an acutely inflamed appendix, 121 (20%) gangrenous or perforated appendicitis and 18 (3%) an appendix abscess; an appendix mass was palpable in 42 (7%) patients and these were treated conservatively. Wound infection complicated surgery in 18 (3%) patients; there were no operative deaths. Acute appendicitis was the second commonest surgical abdominal emergency during the period under study, and the results of treatment compare favourably with series from the developed countries of the West.
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PMID:Tropical surgical abdominal emergencies: acute appendicitis. 276 56

Twenty surgical specimens of appendiceal schistosomiasis were reviewed retrospectively. They constituted 1 percent of 1984 appendices seen among approximately 15,000 surgical specimens examined at free central laboratories serving the Igbos of Nigeria, West Africa. Oviposition by Schistosoma haematobium was classified according to its association with suppurative appendicitis and normal appendices. Seven of ten infested appendices obtained at curative operations showed suppurative appendicitis, whereas eight of nine infested appendices removed at incidental appendectomies were negative. One interval appendectomy was also negative. It is postulated that utilization of this novel classification on a worldwide basis will help to end the controversy concerning the etiologic role of schistosome ova in acute appendicitis.
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PMID:Appendiceal schistosomiasis. Method of classifying oviposition and inflammation. 400 34

During the past five years, ten documented cases of hepatic amebic abscess have required surgical intervention at Olive View Hospital, Van Nuys, California. Three of the patients underwent laparotomy when an hepatic abscess ruptured into the peritoneal cavity, and two required surgical intervention when an abscess invaded adjacent organs. Another abscess continued to enlarge despite metronidazole therapy and still another became superinfected with bacteria. In the remaining three patients, surgical procedure would have been avoided if the correct diagnosis had been made. In fact, the preoperative diagnosis in five cases was acute appendicitis. All patients survived. The incidence of Entamoeba histolytica infestation is increasing in our community. Although most patients rapidly improve with metronidazole therapy, surgical complications do arise and diagnoses are missed. This series of cases emphasizes the need for surgeons working in Southern California to familiarize themselves with the clinical features, complications and appropriate surgical treatment of amebiasis.
West J Med 1982 Feb
PMID:Amebic abscess of the liver: surgical aspects. 706 68

A decade ago intestinal obstruction was the commonest cause of general surgical abdominal emergency admissions in many tropical African countries. Recently there has been a change in this pattern and acute appendicitis has become the major cause of emergency admissions. Most cases of intestinal obstruction are due to obstructed (strangulated or incarcerated) groin hernia. Intestinal ascariasis is a declining cause of intestinal obstruction while colorectal cancer is now an important differential diagnosis. Trauma due to road traffic accidents is increasing in frequency. Gallbladder disease is not a major problem; symptoms suggestive of acute gallbladder disease are more likely to be due to an amoebic abscess in the West African environment.
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PMID:Abdominal emergencies in a tropical African population. 722 63

Agenesis of the appendix is an exceedingly rare abnormality. When it does occur it may represent part of a more generalized ileocaeco-appendicular abnormality or it may occur as a localized event. A case is presented of a 23 year old lady with features of acute appendicitis in whom exploration revealed absence of the appendix and ileo-caecal lymphadenitis. The diagnosis should not be made without thorough exploration including full mobilization of the caecal area. Pre-operative diagnosis is only possible with laparoscopy.
West Afr J Med
PMID:Agenesis of the appendix--case report. 808 Aug 37

Fifty-four cases of acute appendicitis were studied prospectively within a period of 11 months spanning between February-September, 1991 and December, 1991-February, 1992. The mean age was 25.4 years with a range of 8-70 years. Ninety percent of the patient were between 11-40 years of age. Male patients accounted for 54% of the cases. Students and civil servants accounted for 68%, while artisans and traders accounted for remaining cases. Low abdominal pain was present in all cases, loss of appetite in 77.7%, and previous history of abdominal pain in 76%. Abdominal tenderness was present in all the patients, rebound tenderness in 77.7%, guarding in 81.5% and Rovsings sign in 50%. In 12 cases (22%) the diagnosis was incorrect 8 of which were female patients. In 9.3% there was perforation. Wound infection and wound dehiscence occurred in 20.4% and 7.4% of the cases respectively. It is concluded from this study that acute appendicitis is commonly encountered in private Hospital, clinical course and postoperative outcome are not different from what obtained in major medical establishments.
West Afr J Med
PMID:Acute appendicitis: a prospective study of 54 cases. 819 59


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