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

A premature infant is presented with acute appendicitis in a scrotal hernia causing localization of the inflammatory signs to the scrotum, and relatively early operation.
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PMID:Acute appendicitis located in a scrotal hernia of a premature infant. 65 Mar 70

Two neonates with acute appendicitis have been treated at the Paediatric Surgery Clinic, Tygerberg Hospital, during the past 6 months. One presented with red blood in the stool and had had persistent anorexia for 1 week. The second baby presented with a large tender swelling of the scrotum which was indistinguishable from a torsion of the testis or strangulation of an inguinal hernia. Both babies made an uneventful recovery.
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PMID:Unusual presentations of acute appendicitis in the neonate. A report of 2 cases. 714 40

Ninety four children were operated for torsion of testicle hydatids. A conclusion is made that in certain patients differential diagnosis of acute appendicitis is necessary. Irradiation of pain into the abdomen due to close connection of testicle hydatid nerves with nervous plexuses of the retroperitoneal space is one of the causes of possible errors. Thorough palpation of the scrotum organs, novocain blockade of the spermatic cord in doubtful cases help to make correct diagnosis and avoid useless laparotomy. Torsion of the uterine tube hydatid in girls can be a cause of the local aseptic inflammation of the peritoneum and can simulate the clinical picture of acute appendicitis. Revision of fimbriated ends is shown to be important in the absence of alterations in the vermiform process and hemorrhagic exudate.
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PMID:[Differential diagnosis of torsion of the hydatid of Morgagni and of acute appendicitis in children]. 742 77

Acute appendicitis is rarely included in the differential diagnosis of acute scrotum. We report a case of an unusual presentation of acute appendicitis as acute left scrotal swelling. The relevant literature is reviewed.
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PMID:Acute scrotal symptoms due to perforated appendix in children: case report and review of literature. 765 77

Acute scrotum is an exceptional form of presentation of acute appendicitis in the pediatric age group. Only 14 cases have been described in literature. The authors report a case of an 8-year-old boy with a 12-hour history of right hemiscrotal pain secondary to acute retrocecal nonperforated appendicitis. Surgical exploration showed a patent "processus vaginalis."
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PMID:Acute scrotum: an exceptional presentation of acute nonperforated appendicitis in childhood. 1044 16

Acute scrotum is one of the rare presentations of acute appendicitis (AA) in paediatric patients. We report a case of acute scrotum due to a retrocaecal, non-perforated AA with a patent processus vaginalis. To date, 15 such cases have been reported in the literature.
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PMID:Acute scrotum in children: a rare presentation of acute, non-perforated appendicitis. 1268 49

Amyand hernia, named for the first person to describe an inguinal hernia containing the vermiform appendix, is an uncommon variant of an inguinal hernia. Presence of the appendix in the sac complicates the management of inguinal hernias. The appendix may be more prone to rupture when contained within a hernia sac, and herniation of an inflamed appendix into the scrotum can mimic an acute scrotum. A 50-year-old man presented with right lower quadrant abdominal pain associated with chills and anorexia. Physical examination revealed right lower quadrant tenderness and a right inguinal mass without associated skin changes. Laboratories were normal. A plain abdominal computed tomography scan for acute appendicitis showed an indirect right inguinal hernia with the appendix contained within the sac, which was incarcerated. Surgical consultation was obtained. The patient taken to the operating room, and his appendix was removed. The hernia was coincidentally repaired, and the patient was discharged soon thereafter. In cases suggestive of acute appendicitis complicating an inguinal hernia, the diagnosis of this unusual variant must be considered.
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PMID:Amyand hernia: a case of an unusual inguinal herniace. 1853 18

Acute appendicitis presents typically with periumbilical pain that in a few hours settles at the right lower quadrant of the abdomen. Atypical presentations are common but association with acute scrotum is an extreme rarity. A 30-year-old fisherman presented at a rural medical facility with a 2-day complaint of severe pain at the right hemiscrotum followed about 24 hours later with mild diffuse abdominal pain. There was associated mild fever and nausea but no vomiting. There were no urinary symptoms and no recent sexual exposure. Initial physical examination revealed mild generalized tenderness worse at the right lower quadrant but the scrotum was not remarkable, and cremasteric sign was negative. He was admitted as a case of acute abdomen for close observation. Abdominal and scrotal ultrasound scan were normal. By the second day of admission, pain became marked at the right lower abdomen with associated vomiting. There was also marked tenderness at the right lower quadrant with rebound. A diagnosis of acute appendicitis was thus made and appendicectomy done after proper workup. The abdominal and scrotal pain stopped after surgery and the patient was discharged on the seventh postoperative day. Patients with unusual abdominal and scrotal pain should be admitted and closely observed and evaluated to prevent unnecessary scrotal exploration or negative appendicectomy.
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PMID:Acute appendicitis masquerading as acute scrotum: a case report. 2181 59

Acute appendicitis often presents as right lower quadrant (RLQ) pain, severe tenderness at the point of McBurny or Lanz, and Blumberg's sign. Scrotal events with appendicitis are very rare. In our case, a 63-year-old Japanese man presented with severe RLQ pain and high fever. Physical examination revealed severe tenderness (including both points of McBurny and Lanz) and Blumberg's sign. The scrotum was slightly swollen and showed local heat with severe testicular pain. Abdominal computed tomography revealed ascites in a pelvic space and the right side of the spermatic cord was swollen. Emergency operation was performed and the final diagnosis was catarrhal appendicitis and acute epididymitis. This is the first report of acute appendicitis concomitant with acute epididymitis.
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PMID:Acute abdomen caused by both acute appendicitis and epididymitis. 2192 27

An ectopic ureter draining into the seminal vesicle or vas deferens in males is a very rare anomaly and is usually associated with renal dysplasia or agenesis. An ectopic ureter associated with a dysplastic kidney is not usually a suspected cause during clinical evaluation of children with abdominal pain. This report presents a rare case of an ectopic ureter associated with a dysplastic kidney with an acute infection in a previously healthy 12-year-old boy, demonstrated by magnetic resonance imaging. He presented with abdominal pain that mimicked acute appendicitis-like symptoms which was subsequently complicated by epididymitis manifesting as an acute scrotum. Clinicians should consider including an ectopic ureter in the differential diagnosis of children presenting with acute abdomen.
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PMID:A 12-year-old boy with an infected ectopic ureter presenting with acute appendicitis-like symptoms and acute scrotum. 2222 93


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