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

Clinicopathologic correlation and survival were evaluated in 11 patients with adenocarcinomas of the appendix. This extremely rare tumor was seen most often in patients in the fifth decade of life. Acute appendicitis was the most common mode of presentation (8/11). A few patients (3/11) showed signs of distant metastases from an occult primary tumor in the appendix.
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PMID:Adenocarcinoma of the appendix: a clinicopathologic study. 84 97

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

The author presents an analysis of the data obtained in 8500 patients operated upon for acute appendicitis, in 62 of them the postoperative period was complicated by intestinal fistula. It was found that the main causes of occurrence of intestinal fistulas are as follows: late terms of hospitalization and operative treatment of patients with acute appendicitis, some damage to the bowel due to inadequate access in appendectomy. The author advocates an earlier operative treatment for acute appendicitis and the use of a wide approach (transverse) in appendectomy.
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PMID:[External postoperative intestinal fistulae in appendicitis]. 85 31

Five specialy interesting cases operated under the clinical picture of acute appendicitis have been described by authors. Another completely different disease have been found during the operation, which required spread surgical treatment combined with blood transfusion even if we didn't identified the blood group. For this reason you have to pay attention while making a final diagnosis because the mistakes are very common, about 25% in out patient department while 1--3% in clinical conditions.
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PMID:[Unusual diseases which may create the picture of acute appendicitis]. 85 41

Straight X-rays of 92 control patients with acute appendicitis and 92 control subjects were studied for radiographic abnormalities. Disturbance in intestinal gas pattern was the most common abnormality. Presence of a faecolith, free peritoneal fluid, scoliosis and a soft tissue mass were useful supporting signs. Loss of the properitoneal fat line and the right psoas outline were not reliable signs as they occurred with equal frequency in both groups.
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PMID:Useful radiological signs in acute appendicitis in children. 85 18

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

A study was made of the total leucocyte count, neutrophil percentage and absolute neutrophil count in 100 consecutive children with acute appendicitis and in 25 children from whom, following a provisional diagnosis of acute appendicitis, a normal appendix had been removed, no other infective or inflammatory lesion having been found. In the first group there was a raised total leucocyte count in 42 per cent, a raised neutrophil percentage in 93 per cent and a raised absolute neutrophil count in 77 per cent. In the second group the corresponding figures were 4, 24 and 16 per cent. Acute appendicitis is associated with changes in the total leucocyte and neutrophil counts and a correct interpretation of the results of these investigations requires that account be taken of the age of each child. A probable maximum absolute neutrophil count has been calculated. An explanation has been suggested for the presence of normal total leucocyte counts in certain cases in spite of acute appendicitis.
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PMID:The neutrophil count in childhood acute appendicitis. 86 73

A family pedigree containing sixteen individuals with acute appendicitis is presented. In all but one the position of the appendix was retrocecal. In two other members explored for abdominal pain wherein acute appendicitis was not the cause, the appendix was also found to be retrocecal. The anatomic retrocecal location of the appendix in this pedigree shows a degree of uniformity that implies a common predisposing factor inherited as a simple, dominant unit-character.
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PMID:Familial retrocecal appendicitis. 86 16

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


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