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

A prospective study of 444 consecutive patients diagnosed as having acute appendicitis was carried out in a district general hospital. The appendix was acutely inflamed, gangrenous, or perforated in 346 patients. Diagnostic error, 22% overall, was twice as common in females as in males. Organisms were isolated from the outer appendix wall in 117 patients, isolation increasing with the severity of inflammation. 12% of children under 11 had mesentric adenitis, 10% of all females had gynaecological lesions, and 14% of patients over 50 had acute diverticulitis. In only 6% of patients was no abnormality found at operation, and in every case the disorder was dealt with through the gridiron incision.
Lancet 1975 Sep 06
PMID:Appendicitis and mimicking conditions. A prospective study. 5 Dec 35

During a two-year period, major operations were performed on 874 males and 649 females at the first-aid section of a major hospital. Acute appendicitis was the most common intraoperative diagnosis (45.63%), followed by intestinal obstruction (21%), gastroduodenal perforation (6.83%), abdominal injury (5.98%), angiosurgical emergency situations (5.19%, including amputation for gangrene), gynaecological emergency situations (3.74%), acute cholecystitis (3.35%), haematemesis (1.44%), acute pancreatitis (1.31%), and various other diseases. Further surgery as a result of complications was required in 2.63%. Mortality (1 year only) was 7.42%. The results achieved and the tactical criteria employed are discussed.
Minerva Chir 1978 Sep 15
PMID:[Epidemiological study of emergency surgical pathology in the first aid department of a large hospital]. 30 23

Diverticular disease of the appendix involves about 1 per cent of all appendices removed. Considering the large number, the subject appears to have been neglected in medical literature. Since the symptomatology is similar to that of appendicits and diverticula are frequently very small, they could go unnoticed. A comparison of 30 cases of diverticular disease and 30 cases of acute appendicitis reveals a few fine differences. The patients with diverticular disease are at least a decade older, the duration of pain in these patients is longer, and the diverticula and appendix may or may not be inflamed.
Dis Colon Rectum 1977 Sep
PMID:Diverticular disease of the appendix. 40 91

Three cases of perforated diverticulitis of the transverse colon are added to 19 case reports in the English literature. This unusual disease entity is usually confused with acute appendicitis prior to operation and with carcinoma of the colon during the procedure. The cause of these diverticula is unclear, and their clinical presentation resembles that of right-sided diverticula. Segmental resection of the transverse colon together with end-to-end anastomosis is the treatment of choice, except in the occasional instance of a large intra-abdominal abscess, when anastomosis may be deferred.
Arch Surg 1979 Sep
PMID:Acute diverticulitis of the transverse colon with perforation: report of three cases and review of the literature. 48 39

The investigation of 2114 patients admitted for acute appendicitis has shown that after an examination by the surgeon and the blood and urine tests the diagnosis of acute appendicitis was rejected in 922 patients (43%). Out of 1192 patients admitted to the hospital with the diagnosis of acute appendicitis 183 patients (15,4%) did not confirm the diagnosis of acute appendicitis after additional examination and observation of the patients.
Vestn Khir Im I I Grek 1979 Sep
PMID:[Ways to decrease the number of diagnostic errors and to improve the treatment results in acute appendicitis]. 50 68

A family history of appendicectomy was sought in two groups of children admitted to Llandough Hospital over sixteen months. The study group consisted of 29 children with histologically confirmed acute appendicitis, while the control group consisted of 29 children admitted for reasons unrelated to abdominal pain. A history of appendicectomy was elicited in first-degree relatives--that is, siblings and parents of 20 of the children in the study group and of four of the controls--a statistically significant difference. The results obtained from this study suggest that a familial predisposition to appendicitis exists.
Br Med J 1979 Sep 22
PMID:Is appendicitis familial? 50 69

The data from a retrospective study of 224 patients with preoperative diagnosis of acute appendicitis are presented. Periappendicitis was subsequently diagnosed in 5.4 per cent of these patients. More than half of these patients with periappendicitis had other intraabdominal disease demonstrable at operation. The remaining patientw with periappendicitis were followed for two years, and long-term complications were not observed. It is concluded that periappendicitis does not represent an unrecognized nonappendiceal process that requires special management.
Am J Surg 1977 Sep
PMID:Periappendicitis: Clinical reality or pathologic curiosity? 90 Mar 37

Twenty-nine cases of acute appendicitis during pregnancy are presented, and the recent literature is reviewed. Occurring once in 1,600 gestations, appendicitis carries a pregnancy loss of 10.8%. Difficulties in diagnosis and delays in treatment increase with advancing gestational age. Aggressive management may minimize the resultant maternal morbidity and fetal mortality.
South Med J 1976 Sep
PMID:Appendictiis in pregnancy. 96 33

Thermography appears to be a useful supporting aid to classical methods of examination in the clarification of the problems of acute abdominal disease. In a study of 100 patients thermography was in support of the true diagnosis in acute appendicitis in 63 per cent, in acute biliary tract disease in 59 per cent, and, in an attempt to differentiate between tumor and periappendicular abscess, assistance was rendered by thermography in 53 per cent of patients. However, some uncertainty exists because carcinoma often produces in its environment an inflammatory reaction, which causes an increase of temperature visible in the thermogram. In the present series thermography produced a finding supporting the correct diagnosis in 59 per cent. Errors occurred most often in obese patients, who have thick abdominal covers. Thermography also has an obvious application in the localizing of postoperative suppurative foci.
Am J Roentgenol Radium Ther Nucl Med 1975 Sep
PMID:The significance of thermography in the diagnosis of acute abdominal disease. 120 Feb 9

A case of actinomycosis of the abdomen ten years after surgery for acute appendicitis is reported. The patient, a 2 1/2 years old girl at the time of operation, presented with acute abdominal pain ten years after appendectomy. Computed tomography (CT) showed a mass in the region of the right psoas muscle. Fine needle aspiration revealed pus which on culture was found to contain Actinomyces israeli. Since surgery is a well known probable cause of abdominal actinomycosis, we must assume the appendectomy and the formation of the actinomycotic abscess to be related. Discovery of an abdominal mass even years after violation of the gastrointestinal tract should arouse suspicion of an abscess involving these otherwise infrequent pathogens.
Tidsskr Nor Laegeforen 1992 Sep 20
PMID:[Abdominal actinomycosis. Actinomycotic abscess 10 years after appendectomy]. 141 25


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