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

The authors present the case-history of a six-week old boy born during the 30th week of gestation with the coincidence of an incarcerated right-sided inguinal hernia and acute appendicitis. On operation it was found that the appendix was intra-abdominally fixed. The authors draw attention to the difficulty of diagnosis of an inflammatory acute abdomen in neonates and infants.
Rozhl Chir 1989 Sep
PMID:[Concurrent acute appendicitis and incarcerated inguinal hernia in an infant]. 281

Seven cases of the Curtis-Fitz-Hugh syndrome diagnosed over a six month period are reviewed with particular reference to the widely ranging modes of presentation. All presented as acute surgical emergencies but unlike other series, right upper quadrant pain was the presenting symptom in only one case. Right upper quadrant pain nonetheless, featured to a variable extent in all cases, being relatively shortlived in three. Conditions mimicked included left renal colic, acute appendicitis, pulmonary embolism, acute cholecystitis, chronic cholecystitis and urinary tract infection. In five cases symptoms dated back to a difficult or complicated termination of pregnancy and in one case a hysterectomy had been performed twelve years previously at which time the patient had documented evidence of pelvic inflammation. Diagnosis was made laparoscopically and all symptoms responded satisfactorily to a four week course of tetracycline.
Ann R Coll Surg Engl 1986 Sep
PMID:Curtis-Fitz-Hugh syndrome: the new mimicking disease? 294 32

The mortality of acute appendicitis increases sixfold if perforation occurs. We have reported a case of perforated appendix complicated by necrotizing fasciitis of the abdominal wall and retroperitoneum. We believe this complication has not been previously described in the English literature.
South Med J 1987 Sep
PMID:Necrotizing fasciitis: a rare complication of appendicitis. 295 93

The Technicon H-1 (H-1) is an automated hematology analyzer that provides a complete blood cell count, a six-part differential with absolute counts, and morphologic values with a left-shift flag (LS). To determine the sensitivity of the H-1 in detecting peripheral blood changes in acute inflammation, we first correlated the H-1 LS with band counts on the Hematrak 590 (H590), an automated digital image processor differential system. The H-1 sensitivity to H590 band counts above 11% was 76%, specificity was 82%, and efficiency was 80%. Each semiquantitative LS (1+, 2+, 3+), as well as a new factor, lobularity index, was correlated with the actual H590 band count. There was a definite direct proportional relationship between each semiquantitative LS and the mean band count. However, the wide overlaps of band count ranges corresponding to each semiquantitative flag rendered semiquantitation of limited value. Forty cases with the clinical diagnosis of acute appendicitis were similarly studied preoperatively. Thirty-three cases histologically showed acute inflammation. On the H-1, 79% (sensitivity) had LS flags, 88% had absolute neutrophilia (greater than 8 x 10(9)/L), 82% had relative neutrophilia (greater than 75%), and 91% had leukocytosis (greater than 10.5 x 10(9)/L). In comparison, sensitivities on the H590 were 70% for band counts above 11%, 82% for relative neutrophilia, and 85% for absolute neutrophilia. This study shows that the H-1 is at least as sensitive as the H590 to peripheral blood changes that indicate acute inflammation.
Arch Pathol Lab Med 1988 Sep
PMID:An evaluation of the Technicon H-1 automated hematology analyzer in detecting peripheral blood changes in acute inflammation. 304 58

The width of the right anterior extrarenal tissue is increased on ultrasound examination in patients with abdominal inflammatory disease. Thickened perirenal fascia associated with acute pancreatitis has previously been reported on computed tomography. A case report has described increased echogenicity of the pararenal space on ultrasound in children with pancreatitis but increased width of the space between the liver and the renal capsule has not hitherto been described in association with inflammatory disease in the abdomen in adults. We have observed it in acute cholecystitis, acute pancreatitis, acute appendicitis, a perforated duodenal ulcer, a leaking anastomosis with a right subphrenic abscess following total gastrectomy and in a patient with septicaemia and liver abscesses. Normal values were obtained in 100 patients without detectable or known disease and were found to be between 1 and 6 mm (mean 2.5 mm) in men and 1 and 5 mm (mean 1.8 mm) in women. The patients with abdominal disease who demonstrated this sign had values ranging from 9-11 mm (mean 10 mm).
Br J Radiol 1988 Sep
PMID:The renal rind sign: a new ultrasound indication of inflammatory disease in the abdomen. 305 83

A 29-year-old male visited our hospital because of lower abdominal pain. Acute appendicitis was suspected, and surgery was performed. However, no abnormality was found in the vermiform appendix. Instead, atrophy of the greater omentum, numerous nodes of varying sizes, and a small amount of ascites were observed. On the basis of histological examination, a diagnosis of metastatic glandular cancer was made. Gastric fluoroscopy performed 2 months earlier in another hospital had revealed irregularity of the stomach wall and a large concave area on the side of the greater curvature. Photogastroscopy and CT demonstrated progressive Borrmann type III cancer at the corresponding site and metastasis to regional lymph nodes. Biopsy findings were similar to the histological findings. After 1 week, treatment with UFT (400 mg/day), MMC (10 mg/month) and LNT (1 mg/week) was initiated. After about 3 months, i.e., following administration of 40 g UFT, 30 mg MMC and 8 mg LNT, gastric fluoroscopy and photogastroscopy revealed complete disappearance of the tumor. No abnormality was found by laboratory studies. The patient has since returned to a normal life.
Gan To Kagaku Ryoho 1987 Sep
PMID:[A case of gastric cancer with peritonitis carcinomatosa which improved upon oral administration of UFT, mitomycin C and lentinan]. 311 87

Differentiating acute appendicitis from other causes of acute abdominal pain in children frequently remains unsatisfactory. To determine whether initial historical and physical examination findings might predict final diagnoses, 246 patients with complaints of nontraumatic and nonrecurrent acute abdominal pain were studied. All were between three and 18 years of age and had presented to a hospital-based pediatric emergency department. Each family was telephoned an average of 5.1 days after the visit to determine the patient's subsequent clinical course; operative notes and pathology reports were reviewed for patients receiving surgery. Of these patients with acute abdominal pain, both fever and vomiting were present in 18 of the 24 who eventually had diagnoses of appendicitis, compared with 49 of 222 patients with other final diagnoses (P less than 0.01, with negative predictive value 0.97, sensitivity 0.75, and specificity 0.78, but positive predictive value only 0.27). The duration of the pain at presentation and the frequency of other symptoms (eg, diarrhea, dysuria, anorexia, and lethargy) were unrelated, however, to final diagnosis, as was the duration of the pain and whether abdominal tenderness initially was localized or generalized. Nonruptured appendicitis was generally indistinguishable from ruptured appendicitis preoperatively, by both duration and symptoms. Boys were found more likely to have appendicitis (with or without rupture) than girls (18/118 or 15%, vs. 6/128 or 5%, P less than 0.05). In conclusion, fever and vomiting were noted at presentation more frequently in children with appendicitis than in children with other causes of acute abdominal pain.(ABSTRACT TRUNCATED AT 250 WORDS)
Pediatr Emerg Care 1988 Sep
PMID:Diagnosing appendicitis in children with acute abdominal pain. 318 19

Between 1971 and 1985 there was a significant rise in the annual hospital discharge rate for acute appendicitis in Glasgow Asian boys aged 10-19.9 years. A smaller and statistically insignificant rise occurred in Asian girls of 10-19.9 years; discharge rates for younger Asian boys and girls did not change significantly. In keeping with national trends, discharge rates for acute appendicitis in all Glasgow children fell significantly between 1971-85. The divergent trend in older Asian children may reflect dietary adaptation which is most marked in older Asian boys.
J Epidemiol Community Health 1988 Sep
PMID:Changes in the incidence of acute appendicitis in Glasgow Asian and white children between 1971 and 1985. 259 98

This is a prospective and randomized study of 100 patients with acute appendicitis who were less than 10 years old, in which four different antibiotic regimens commonly in use against gram-negative and anaerobic bacteria were compared in terms of postoperative septic complications. The antibiotics were begun immediately preoperatively and continued for five days. Ten percent of the patients developed infection complications, with 4% requiring further surgery. The best results were obtained with cefoxitin (4% of infection), metronidazole plus amikacin and latamoxef (8%), while the regimen of clindamycin plus amikacin was associated with the greatest number of complications (20%). On analyzing the main microbiologic findings of the study, we conclude that some sort of antibiotic treatment is indicated in all types of appendicitis, due to the occult presence of bacteria in the peritoneal cavity, even without clinical evidence of gangrene or perforation. Further, we emphasize the significance of Streptococcus faecalis as being responsible, along with Escherichia coli and Bacteroides fragilis, for serious postoperative complications.
J Pediatr Surg 1987 Sep
PMID:Study of appendicitis in children treated with four different antibiotic regimens. 331 64

Clinical data from 259 patients with suspected acute appendicitis were prospectively collected and used in construction of a Bayesian scoring system, comprising 19 attributes, for preoperative diagnosis. The scoring system was integrated into the routine clinical management of a prospective series of 830 patients. Laparotomy was performed in 310 cases, and of these 256 had acute appendicitis (perforation in 14%). Excluding 6 cases with normal appendix but laparotomy mandatory for other reasons, the negative laparotomy rate was 15.5%. This rate was significantly lower than in earlier series from the same hospital and in more than 8,000 appendectomies performed in Sweden since 1969. The scoring system had 90.2% sensitivity, 91.4% specificity, 82.5% positive predictive value and 95.4% negative predictive value. The system is regarded only as an aid in diagnosis, to be used in combination with clinicians' judgements. Construction of a local data base probably is essential for results equivalent to those here reported.
Acta Chir Scand 1987 Sep
PMID:Routine use of a scoring system for decision-making in suspected acute appendicitis in adults. 332 9


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