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

Three cases are described in which there was concurrent development of acute cholecystitis and a second acute abdominal illness. Acute cholecystitis occurred in patients with acute appendicitis, small bowell obstruction, and acute colonic diverticulitis. Experience with three such cases over the course of eight years by a single surgeon suggests a possible aetiological link between the two diseases. It is suggested that, under some circumstances, exploration of an acute abdomen may need to be more than cursory.
Aust N Z J Surg 1977 Dec
PMID:Double pathology in acute cholecystitis. 27 27

Of 1,640 children with acute appendicitis treated at Cook County (Illinois) Hospital between Jan 1, 1957, and Dec 31, 1976, 35% had appendiceal perforation. Overall morbidity was 12.8% and mortality was 0.24%. Antibiotics, transperitoneal drainage, and delayed wound closure were used routinely in children with appendiceal perforation. Antibiotics and transperitoneal drains did not appreciably alter the incidence of intraabdominal abscess formation. Delayed wound closure in patients with appendiceal perforation reduced the incidence of wound infection by 75%.
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PMID:Pediatric appendicitis. A 20-year study of 1,640 children at Cook County (Illinois) Hospital. 31

Acute appendicitis with abscess often produced a distinctive extrinsic pressure deformity of the cecum. If the abscess is large or disseminated, other parts of the gastrointestinal tract may be secondarily involved. Abscesses usually produce extrinsic compression defects with benign radiologic characteristics, but occasionally the lesions may simulate malignant disease. Even careful evaluation of the clinical symptoms and signs may not be helpful in the differentiation of benign from malignant disease. Three examples of atypical acute appendicitis are described in patients with clinical and radiologic findings strongly suggestive of malignant disease.
AJR Am J Roentgenol 1977 Dec
PMID:Acute appendicitis with abscess stimulating carcinoma of the sigmoid. 41 58

The value of barium enema examination in diagnosing acute appendicitis in patients with equivocal findings has been confirmed by our experience with five patients. Cecal spasm, extrinsic compression of the cecum, nonvisualization of the appendix, and partial visualization of the appendix appear to be useful roentgenographic signs, either singly or in combination, in diagnosing acute appendicitis. We have had absolute pathologic correlation between the barium enema findings andthe subsequent clinical course of all the patients in whom we conducted this examination. When performed by an experienced radiologist, the barium enema examination carries no increased risk, and we have seen no complications from this procedure.
Am J Surg 1979 Dec
PMID:Use of the barium enema in the diagnosis of acute appendicitis and its complications. 50

Two cases of spontaneous aorto-caval fistula are reported. In the first, following laparotomy for an erroneous diagnosis of acute appendicitis, retrograde aortography was conclusive. In the second case, an attempted renal angiogram for acute renal failure and hematuria failed but a flush aortic injection showed the fistula.
J Can Assoc Radiol 1979 Dec
PMID:Angiographic diagnosis of aorto-inferior vena caval fistula. 51 97

The results of six simple investigations are compared with the duration of the disease in 100 children with acute appendicitis. The results indicate that during the first day on which the appendix becomes inflamed the local defence mechanisms of the appendix are impaired sufficiently to allow invasion by the bacterial organisms in its lumen. This initially inflamed and subsequently infected appendix may develop in the manner indicated. Local and/or generalized complications may follow, i.e. acute appendicitis in its successive stages of development, which may be regarded as (a) inflamed, (b) infected and (c) complicated, and these changes take place at intervals of 1 day. Bacterial and faeoliths are present in the lumen of the appendix, whether inflamed or not, and it is suggested that they complicate the disease rather than being responsible for causing it.
Br J Surg 1978 Dec
PMID:Progress of acute appendicitis: a study in children. 73 26

Microsurgery is used extensively for reconstruction after an inflammatory disease, for reversal of sterilization, and surgery in young or unmarried women. Peritubal and periovarian adhesions are 2 main causes of infertility in women. In salpingolysis cases, it has been shown that with over 53% ciliated cells in the fibria there can be a 60% pregnancy rate using microsurgery. In salingostomy cases, there is an increased pregnancy rate although still less than 30%; however, there is a corresponding increase in the number of ectopic pregnancies. Cornual occlusions due to salpingitis isthmica nodosa, endometriosis, cornual fibromyomata, endosalpingitis, puerperal infection, or polyposis was corrected by tubal implantation before microsurgery, which avoids the disadvantages of implantation. Nearly 45% of the women with inflamed tubes and 60% of sterilization reversals have achieved intrauterine pregnancies. Surgery for ovarian cysts, bleeding corpora lutea, and acute appendicitis may lead to infertility, but by using microsurgery, adhesion formation is limited or removed entirely; however, for ectopic pregnancies, 50% will probably remain infertile even after microsurgery. It is suggested that microsurgery techniques be practiced on extirpated tubes and hysterectomy specimens.
Clin Obstet Gynaecol 1978 Dec
PMID:The future of microsurgery in infertility. 73 44

Basing on the literature data and own experience with 9 patients the authors have come to the conclusion that mesenteric cysts occurred only in 0.01% of children operated on urgent indications. In 6 children surgical interventions were carried out for the clinical picture analogous to that of acute appendicitis, 3 patients were operated upon for the clinical picture of ileus.
Vestn Khir Im I I Grek 1978 Dec
PMID:[Complicated mesenteric cysts in children]. 74 81

Twelve children with abdominal complaints had lymphoid hyperplasia of the bowel presenting in an acute or chronic form. The etiology is obscure. An infectious process is thought to precipitate the acute form of the disease. Parasites were identified in two patients with the chronic disease. The acute form, with involvement of the appendix or terminal ileum, presents commonly as acute appendicitis. Because of its self-limiting nature, appendectomy with perservation of the terminal ileum is appropriate. When intussusception is present, resection of the ileum is advisable. The chronic form, which is also common in the terminal ileum, produces disabling symptoms, recurrent intussusception, chronic anemia, and weight loss and is, therefore, amenable to surgical resection.
J Pediatr Surg 1976 Dec
PMID:Lymphoid hyperplasia of the bowel and its surgical significance in children. 100 12

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.
Leber Magen Darm 1976 Dec
PMID:[Torsion of the gallbladder (author's transl)]. 101 78


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