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

A rare disease that can mimic acute appendicitis is infarction of accessory spleen. It may occur in children and is difficult to diagnose preoperatively. Greater awareness of this entity may show not only that it is associated with other intraabdominal anomalies but also that it is more common in the tropics than elsewhere. Two cases are reported.
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PMID:Infarction of accessory spleen. 65 Mar 60

The torsion of the gallbladder is a rare disease. A case of torsion of the gallbladder is reported who came to surgery under the diagnosis of acute appendicitis in an elder person. Factors facilitating torsion of the gallbladder are discussed. The only form of therapy is immediate cholecystectomy.
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PMID:[Torsion of the gallbladder (author's transl)]. 101 78

Primary omental torsion is a rare disease, with only two cases in the past four years reported at our hospital. The patients suffered from pains over the right lower quadrant region of the abdomen for 3 days. Physical examination showed tenderness and rebounding pain over the right lower quadrant region of the abdomen. Laboratory data revealed leucocytosis. Surgical intervention was performed under the initial impression of acute appendicitis. The surgery revealed omental torsion. The twisted omentum was smoothly, resected and the postoperative course was uneventful. We present these two cases and review the literature.
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PMID:[Primary omental torsion--report of two cases]. 186 9

Cecal diverticulitis is a relatively rare disease, which closely mimics the picture of acute appendicitis. At times it is difficult to differentiate from carcinoma. Five cases of cecal diverticulitis are reported, with a discussion of some salient features of this condition. Although two cases were treated with a right hemicolectomy, a plea for conservatism in the treatment of this disease is made.
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PMID:[Single diverticulum of perforated cecum. Report of 5 cases]. 211 23

Primary iliopsoas abscess is a relatively rare disease occurring mainly in children. Since it simulates more common conditions, delay in diagnosis is almost the rule. In 2 children it simulated acute appendicitis, but in both cases a normal appendix was removed. In a third child it led to the diagnosis of right sacroiliitis, and antibiotics were given for several weeks. Ultrasound examinations in all 3 failed to reveal the diagnosis, which was reached by CT scan. The latter is the method of choice for diagnosis and is of aid in deciding on the best route for drainage.
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PMID:[Primary iliopsoas abscess in children]. 230 93

In a case report, idiopathic segmental infarction of the greater omentum is demonstrated for the first time by means of computed tomography. This rare disease of unknown etiology can mimic the clinical presentation of acute appendicitis or cholecystitis.
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PMID:[Spontaneous infarct of the omentum majus: visualization by computed tomography]. 367 23

Acute cholecystitis is a non-rare disease, the incidence of which was increasing in the last years parallel to biliary lithiasis, which in 90% of cases is the first cause of such pathology. From the anatomopathological standpoint, we distinguish three types of acute cholecystitis: catarrhal, suppurative and gangrenous. The most frequently remarked symptom is ache at right hypochondrium. Only in 30% of cases cholecyst can be palpated, in form of ovoid mass; typical is the positiveness of Murphy's manoeuvre; constant is fever, but not subicterus. The introduction of new methods of ascertainment, exempt from any risks, simple to be performed and remarkably careful, made the diagnostics of acute cholecystites easier: parietal cholecystotomography, hepato-biliary scintigraphy, echotomography (first approach investigation), computerized axial tomography and laparoscopy almost always succeed in dispelling doubts. By using more than one of these investigations, a diagnostic accuracy, touching on 100%, can be reached. The differential diagnosis should be placed with: peptic ulcer, acute pancreatitis, acute appendicitis, gonococcus perihepatitis, virus hepatitis, acute pyelonephritis, right basal pneumonia. The complications an acute cholecystitis can occur are: perforation (localized, in free peritoneum or in a hollow organ), choleperitonaeum, necrosis of hepatic parenchyma, acute pancreatitis. Due to the possible arising of such complications, the mortality unfortunately is not indifferent (5%), especially in patients already weakened by other chronic diseases. Still discussed is the question as to when performing operation. In fact, there are three trends: intervention in immediate emergency, in postponed emergency, or in remote time (preceded by a medical treatment). The Authors prefer the intervention in postponed emergency, as, in their experience, they remarked the poor effectiveness of the delay medical treatment, also involving a greater difficulty in the technical execution of the intervention and a longer stay in hospital. From 1973 up to 1983, 241 cases of acute cholecystitis (158 women and 83 men) were hospitalized at the First Aid Surgical Centre of the Catania University. Eight patients refused the surgical intervention. The remaining 233 underwent, depending upon the seriousness of the affection, the associated diseases and the different reactiveness to the medical treatment, operation: in immediate emergency (26.1%); in postponed emergency (67.8%; in remote time (6.1%). The mortality was 2.2%, with the lowest percentage in the second group.
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PMID:[Acute cholecystitis]. 640 77

Authors describe characteristics of this rare disease, as cause of acute abdomen in infancy. They base this on the study of two cases. They establish criteria for differential diagnosis of acute appendicitis, as well as surgical treatment and pathological conditions found during surgery.
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PMID:[Primary segmental infarction of the omentum in children (author's transl)]. 722 73

Acute appendicitis is a very rare disease in children under 1 resp. 5 years of age. In a series of 1456 cases 8.9% of patients were older than 60 years. In both extreme age groups however perforating appendicitis is a common complication: 40% resp. 37% against 6 to 7% in patients between 5 and 60 years of age. In our series of 1456 cases the correct diagnosis of acute appendicitis was missed preoperatively in 11%. The well described clinical signs and the dates of history vary so widely that they do not guarantee the correct diagnosis. In our opinion clinical experience is the most helpful item in proving the diagnosis of acute appendicitis which ought to be operated upon.
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PMID:[Diagnosis of appendicitis: only experience helps]. 739 22

The incidence of complications following treatment of acute appendicitis in childhood is lower than 5%, while thromboembolic disease at that age is exceptional. The case of a 13-year-old male who was operated on in our pediatric surgery department for acute gangrenous appendicitis is presented. His condition improved until the sixth day after the operation when he suffered thrombosis in both the left iliac vein and the inferior cava. Ultrasonography, plethysmography and computer tomography (CT) studies were carried out and a diagnosis of venous thrombosis was made with an underlying congenital vascular malformation where the iliac vein was compressed by the overlying iliac artery; known as the Cocket syndrome. The etiology diagnosis and treatment of this rare disease in childhood is reviewed.
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PMID:Cocket syndrome: thrombotic-septic disease post-appendicectomy complication. 775 39


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