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

The first report of acute appendicitis complicating pregnancy in Zambia is presented. The diagnostic problems were differentiation between Urinary tract infection concealed accidental haemorrhage and acute appendicitis. However emergency appendicectomy was performed and the outcome was satisfactory. The patient went into premature labour but normally delivered a 2,100g baby. The literature is reviewed; an increased awareness of this condition in our environment is advocated.
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PMID:Acute appendicitis complicating pregnancy. A case report. 72 58

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

Seventeen cases of acute appendicitis complicating pregnancy were analysed. The presenting symptoms were abdominal pain, nausea and anorexia. The usual physical findings were direct abdominal tenderness and rectal tenderness. Correct diagnosis was more difficult when gestation was advanced. This was reflected both by the severity of the disease process found at operation and by the increasing foetal mortality rate. Delay in diagnosis and treatment is the main factor causing high maternal and foetal death rates, especially when pregnancy is advanced.
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PMID:Acute appendicitis complicating pregnancy. 73 85

The results of six simple investigations are compared with the duration of the disease in 100 children with acute appendicitis. The results indicate that during the first day on which the appendix becomes inflamed the local defence mechanisms of the appendix are impaired sufficiently to allow invasion by the bacterial organisms in its lumen. This initially inflamed and subsequently infected appendix may develop in the manner indicated. Local and/or generalized complications may follow, i.e. acute appendicitis in its successive stages of development, which may be regarded as (a) inflamed, (b) infected and (c) complicated, and these changes take place at intervals of 1 day. Bacterial and faeoliths are present in the lumen of the appendix, whether inflamed or not, and it is suggested that they complicate the disease rather than being responsible for causing it.
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PMID:Progress of acute appendicitis: a study in children. 73 26

Microsurgery is used extensively for reconstruction after an inflammatory disease, for reversal of sterilization, and surgery in young or unmarried women. Peritubal and periovarian adhesions are 2 main causes of infertility in women. In salpingolysis cases, it has been shown that with over 53% ciliated cells in the fibria there can be a 60% pregnancy rate using microsurgery. In salingostomy cases, there is an increased pregnancy rate although still less than 30%; however, there is a corresponding increase in the number of ectopic pregnancies. Cornual occlusions due to salpingitis isthmica nodosa, endometriosis, cornual fibromyomata, endosalpingitis, puerperal infection, or polyposis was corrected by tubal implantation before microsurgery, which avoids the disadvantages of implantation. Nearly 45% of the women with inflamed tubes and 60% of sterilization reversals have achieved intrauterine pregnancies. Surgery for ovarian cysts, bleeding corpora lutea, and acute appendicitis may lead to infertility, but by using microsurgery, adhesion formation is limited or removed entirely; however, for ectopic pregnancies, 50% will probably remain infertile even after microsurgery. It is suggested that microsurgery techniques be practiced on extirpated tubes and hysterectomy specimens.
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PMID:The future of microsurgery in infertility. 73 44

Two cases of axial volvulus of a Meckel's diverticulum associated with a diverticular band are described. In both cases, the pre-operative diagnosis was of acute appendicitis. The importance of further exploration if the appendix is insufficiently inflamed to acount for the symptoms and signs is emphasized.
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PMID:Axial volvulus of Meckel's diverticulum. 74 May 97

Basing on the literature data and own experience with 9 patients the authors have come to the conclusion that mesenteric cysts occurred only in 0.01% of children operated on urgent indications. In 6 children surgical interventions were carried out for the clinical picture analogous to that of acute appendicitis, 3 patients were operated upon for the clinical picture of ileus.
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PMID:[Complicated mesenteric cysts in children]. 74 81

Yersinia pseudotuberculosis infections in two bacteriologically confirmed cases are described. A child was found to have mesenteric adenitis and an adult had septicemia. Invariably simulating acute appendicitis, mesenteric adenitis most often occurs in male children and adolescents. Septicemia with this organism usually affects elderly, debilitated patients, who frequently have chronic hepatic disease. The infrequent diagnosis of infection with Yersinia pseudotuberculosis in the United States is probably due to failure to consider it a human pathogen. Currently classified with the Enterobacteriaceae, Yersinia pseudotuberculosis in a non-lactose-fermenting, Gram-negative coccobacillus. It is sensitive to a wide range of antibiotics, including tetracycline and streptomycin, but usually is resistant to ampicillin. Yersinia pseudotuberculosis has a worldwide distribution in wild and domestic mammals and birds. Infections in man may result from direct contact with infected animals or their excreta.
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PMID:Clinical and laboratory aspects of Yersinia pseudotuberculosis infections, with a report of two cases. 77 44

Under study was the effect of various bacterial allergens on the migration of blood leucocytes from capillaries in vitro in 23 patients with acute appendicitis and in 18 healthy individuals. Bacterial allergens wound suppress leucocytes migration in all patients. Most frequently, sensibilization to allergens of hemolytic staphylococcus and hemolytic streptococcus was found. In 4 healthy persons this methods indicated sensibilization to some allergens. The interaction of activity sensibilized lymphocytes and passively sensibilized polynuclears of the appendix with bacterial antigens is assumed to tigger the hyperergic reaction in acute appendicitis.
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PMID:[Study of bacterial allergy in acute appendicitis by the method of leukocyte migration inhibition in vitro]. 78 85

Diagnostic barium enema is not a substitution for well executed physical examination, and its use should be reserved only for obscure situations. An abnormal roentgenogram provides valuable information, since the fear of missing acute appendicitis in these children is minimized. When normal, this diagnostic test may bring to early operation those with minimal symptoms or unusual presentations, thus avoiding the possibility of prolonged observation and perforation. In children with known associated severe medical maladies, diagnostic barium enema can serve to reaffirm the diagnosis prior to the hazardous operative intervention. It may also eliminate the need for operation in those conditions which mimic acute appendicitis. The use of diagnostic barium enema in the past three and a half years significantly improved our diagnostic capabilities in children with abdominal pain. There was a corresponding reduction in the number of normal appendixes removed. The efficancy and, above all, the safety of this procedure make it a valuable diagnostic aid in the care of children.
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PMID:Barium enema as a diagnostic aid in children with abdominal pain. 84 51


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