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

The retrocaval ureter is a rare malformation and may simulate acute appendicitis. Diagnosis shoud be made by a lateral X-ray view of the inferior vena cava and the ureter simultaneously. Surgical treatment is mandatory in the case of flank pain and consists of nephrectomy or dismembered pyeloplasty in front of the vena cava inferior or finally, dismembered angioplasty of the vena cava inferior behind the ureter.
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PMID:[Retrocaval ureter: a rare differential diagnostic possibility in a suspicion of appendicitis]. 52 3

Acute appendicitis was once thought to be rare among rural blacks. It is now known that appendicitis is relatively common among Africans and in Africa. At the University College Hospital, Ibadan, Nigeria, appendicitis is the most common cause of acute abdomen on the surgical service.One hundred and eighty-one cases of appendicitis were operated on in a two-year period from June 1975 to June 1977. A retrospective analysis of 47 fully documented cases showed that wrong diagnosis occurred more often in females than in males. There was a high incidence of perforation (31.9 percent) in this series. Deaths occurred in perforated cases and cases complicated by typhoid perforation of the terminal ileum. Parasites and their ova were often present in the lumen of some appendices.The age group most affected was 16 to 20 years. This disease affected low, middle and upper income groups in our society. Chronic, recurrent appendicitis was frequently diagnosed (31.9 percent) and history of recurrent right lower quadrant pain as far back as three months was often elicited from these patients.
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PMID:Appendicitis in a tropical African population. 53 24

11.7% of all cases with inability to work, 11.3% of all days with inability to work, and 13.6% of all dismissals from hospital of working people concern diseases of the digestive system. Gastroenterological diseases occupy an anterior place in inability to work. The inability to work is essentially determined by 7 diagnoses--gastritis and duodenitis, cholelithiasis, gastroenteritis and colitis, cholecystitis and cholangitis, ulcus ventriculi and duodeni, acute appendicitis. They comprise 78% of the days of inability to work. The endoscopic diagnostics is further to be developed with the further improvement of the organisation of treatment, particularly the cooperation between outpatient department and hospital and the interdisciplinary work.
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PMID:[Inability to work in gastrointestinal diseases]. 53 9

The course of 200 patients who recently underwent appendectomy at UCLA for acute appendicitis has been reviewed to determine the efficacy of preoperative systemic antibiotic prophylaxis in reducing septic morbidity after surgery. Among those with nonperforated appendicitis who were given gentamycin and clindamycin preoperatively, a reduction of infection rate from 10.2 to 5.3 per cent was found when compared with patients who received no antibiotics.
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PMID:Acute appendicitis: efficacy of prophylactic preoperative antibiotics in the reduction of septic morbidity. 56 12

Five cases of lymphosarcoma of the bowel in Nigerian Igbo children are presented. They were found to be similar to an Australian series in the following respects: boys were more commonly affected than girls; affected children were all aged over two years; and the two main modes of presentation were intussusception and a localized abdominal mass. Unlike Australian children, Nigerian Igbos did not present with features suggestive of acute appendicitis.
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PMID:Comparative study of bowel lymphosarcoma in childhood. 57 98

The pathological changes occurring in a series of 1000 consecutive appendicectomies are reviewed. Normal appendix was diagnosed in 14% of cases, while 561 (56%) exhibited acute appendicitis; 53 (5%) had chronic inflammatory infiltrate associated with obliteration of the lumen of the tip of the appendix. Epithelial abnormalities included carcinoid tumours (1.4%), and primary appendiceal adenocarcinoma (1 case). There were a large variety of other abnormalities found and each one is briefly described.
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PMID:Pathological changes in the appendix: a review of 1000 cases. 59 32

A retrospective analysis of the case histories of 238 patients who were hospitalized with acute appendicitis in the Clinical Hospital 60 of the Instituto Mexicano del Seguro Social from 1970 to 1971 revealed the following: 36% of the patients were operated in the earliest stage of acute appendicitis, 21.8% presented with perforated appendix and 32.6% with local and systemic septic complications. The group with perforated appendix presented most frequently with high levels of leucocytes and abscesses in incisions. All the cases of residual abscesses were found in this group and also two deaths were reported. It was interesting to find that routine drenage of the apendicectomy did in result in a decrease in local and systemic complications; in fact, they were found to be increased. Similarly it was found that the irrational use of antibiotics did not prevent abscess formation in the incision in the less seriously ill group and only served to confuse the clinical picture and impede the initiation of opportune treatment. Generally the diagnosis can be established from the clinical picture, but ocasionally it is necessary to operate in order to accurately evaluate the gravity of the lesion.
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PMID:[Morbidity and mortality of appendicitis]. 61 79

An instance of acute appendicitis in a child associated with prolonged retention of barium by the appendix and formation of a barolith was presented. Previous reports have implicated barium in the etiology of appendicitis and suggest routine roentgenographic follow-up of all cases in which barium enters the appendix. Considering the frequency of this observation and the lack of an established relationship between prolonged retention of barium and appendicitis, this suggestion seems unwarranted.
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PMID:Acute appendicitis in a child associated with prolonged appendiceal retention of barium (barium appendicitis). 62 9

Appendiceal abscess developed in 2% of 2,621 patients with acute appendicitis seen between 1962 and 1976. While representing a commendable decline in frequency from earlier studies, in view of the demonstrated prolonged delay in seeking medical care, further decreases in incidence could be affected by increased patient education. Sixty-one of 68 patients underwent surgical drainage of the abscess, with a 28% complication rate. Interval appendectomy was performed in 42 cases, with a 19% complication rate. Two patients (3%) died. These rates do no differ appreciably from those reported during the preantibiotic era. Recurrent appendicitis developed in only one of 13 patients not undergoing interval appendectomy during a follow-up period averaging five years. Interval appendectomy should be withheld only in those poor-risk patients in whom the 10% to 20% incidence of recurrent appendicitis seems the smaller risk.
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PMID:Appendiceal abscess revisited. 62 73

Twenty patients with chronic pain in the right lower quadrant of the abdomen were reviewed as to preoperative findings and pathologic findings at laparotomy. Eleven of the 20 patients had acute appendicitis, and 13 of the 20 had some appendiceal problem. The white blood count was not reliable in diagnosing this, as eight of the 11 of those with acute appendicitis had a normal white blood count. Barium enema examination was performed in ten of the 13 with disease, and abnormalities were noted in nine of the ten, an indication of a high degree of reliability of this examination. Long term follow-up study revealed that 17 of the patients in the study gained complete relief of symptoms after appendectomy.
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PMID:Chronic appendicitis. 63 51


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