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

Crohn's disease limited to the appendix is uncommon. When Crohn's disease affects the appendix it typically has a longer clinical course than most cases of acute appendicitis. The diagnosis is histological. Appendiceal Crohn's disease has a benign course after surgery, and that's why some authors believe that it could be a different entity which should be better addressed to as "Idiopathic Granulomatosus Appendicitis". We present three new cases of Crohn's disease limited to the appendix.
Rev Esp Enferm Dig 1995 Dec
PMID:[Idiopathic granulomatous appendicitis or Crohn's disease confined to the appendix?]. 856 96

The clinical presentation of acute appendicitis and the idiopathic granulomatous variety are, as a rule, indistinguishable. Five patients with idiopathic granulomatous appendicitis, treated during past decade, had histological acute and chronic appendicitis abounding with granulomas. Investigations not disclosing a systemic or enteric granulomatous disease and the patients' long-term complete postoperative recovery support the diagnosis of idiopathic granulomatous appendicitis.
J Clin Gastroenterol 1995 Dec
PMID:Idiopathic granulomatous appendicitis. Report of five cases, one of which presented as migratory arthritis. 858 2

Since its conception, several techniques have been described for laparoscopic appendicectomy. We describe a technique which utilizes a 5-mm bipolar forceps designed to coagulate and cut tissues at the same time; 50 pediatric patients underwent laparoscopic appendicectomy for acute appendicitis using this "stripping and teasing" technique. No bleeding complications occurred. There were only two postoperative abscesses in the series. We believe that the bipolar laparoscopic striptease appendicectomy technique as developed by the senior author is safe, quick, and effective, even for severe appendicitis.
Surg Endosc 1995 Dec
PMID:Laparoscopic bipolar strip-tease appendicectomy. A new endosurgical technique. 862 15

Acute appendicitis has become the commonest nontrauma-related abdominal surgical emergency at Cecilia Makiwane Hospital. The records of 122 patients undergoing appendicectomy were reviewed. Attention is drawn to late presentation and the high complication rare encountered. Mortality rate (0.8%) and overall diagnostic accuracy (85%) were acceptable. The need for adequate patient education is stressed as a possible measure to reduce high morbidity associated with late presentation.
S Afr J Surg 1995 Dec
PMID:Acute appendicitis among black South Africans. 867 68

The case of a 6-year-old girl who was admitted with abdominal pain and diagnosed to have primary omental torsion through laparatomy is presented. The presence of serosangineous fluid mimicking acute appendicitis but clinically not as bad as expected is suggested to raise the suspicion of primary omental torsion.
J Pediatr Surg 1995 Dec
PMID:Primary omental torsion in a 6-year-old girl. 874 28

Laparoscopy is increasingly used in conditions complicated by peritonitis. A theoretical concern is that carbon dioxide pneumoperitoneum may increase bacteraemia. In a prospective study 90 patients were treated by laparoscopic appendicectomy. 30 of them had no histological abnormality; 30 had an acute appendicitis and 30 an acute peritonitis. 75 patients were eligible for the study. The treatment protocol (surgery-antibiotherapy) was the same for the 3 groups. All patients had blood cultures before, during and after insufflation of CO2 in the peritoneum, and bacterial examination of the operative site. Septic morbidity was evaluated for each patients. Positive bacterial culture from abdominal site are correlated with the pathologic findings. There were no positive blood cultures in the groups studied and no incidence in term of septic morbidity. This study suggests that laparoscopic treatment of septic abdominal diseases does not facilitate bacteriemias and does no affect septic morbidity.
J Chir (Paris) 1995 Dec
PMID:[Does laparoscopic treatment of abdominal infections generate bacteremias? Prospective study: 75 cases]. 881 57

Acute appendicitis is the most frequent etiology of abdominal laparotomy, and although it's thought that is a pathology of young patients, not only it isn't infrequent in elderly patients but it's increasing its incidence in the last decades, in part due to longer expectative of life in the general population. We studied the particularity of presentation and evolution in a group of 73 patients older than 60-year old, in comparason with a younger group. The clinical findings were typical in the most of patients, unrelated to the age, but problems as: delay in the clinical assistance, to have associated another diseases, and delayed diagnosis and operation, make the appendicitis in the older patient to have an increased incidence of complications. Moreover, post-operative complications occurred much more frequently, specially at the surgical incision, with a higher morbidity and hospital stay.
An Med Interna 1996 Dec
PMID:[Appendicitis in the elderly: delay between the first symptoms and surgical procedure]. 906 32

The authors report their experience of three cases of carcinoids of the gastroenteric tract which required emergency surgery. Two patients presented symptoms of acute appendicitis caused by appendicular carcinoid, whereas the third presented an occlusive syndrome due to ileal carcinoid.
Minerva Chir 1996 Dec
PMID:[Carcinoids in emergency surgery]. 906 71

Hollow viscus injuries are usually managed with few complications. However, if their diagnosis is delayed, or if reparative suture closure should fail, the patient is placed at risk of multiple organ failure. This article presents diagnostic approaches, emphasizing imaging modalities, and therapeutic strategies for three clinical scenarios of hollow viscus perforation: 1) acute appendicitis, 2) gastroduodenal peptic ulcer disease, and 3) trauma.
Surg Clin North Am 1997 Dec
PMID:Traumatic and nontraumatic perforation of hollow viscera. 943 40

The evaluation and treatment of acute appendicitis remain essentially unchanged for the majority of individuals who present with this disease. Although advancements have been made in laboratory analysis as well as imaging via ultrasonography and CT, nothing can replace careful evaluation by an experienced surgeon. Appendicitis remains a diagnosis based primarily on history and physical examination, with further studies being useful adjuncts in atypical cases--more likely to occur in the very young or very old and most cost effective when ordered by the surgical consultant. Improvement in outcomes has not been demonstrated with routine use of "new technology." The treatment of acute appendicitis continues to be early surgical intervention. Although laparoscopic appendectomy may offer advantages in women of childbearing age and in obese individuals, its routine use is not indicated based upon current reports in the literature. Debate continues regarding the optimal treatment of the periappendiceal mass. Further clinical research regarding early operation compared with intravenous antibiotics with or without drainage, as well as comparison of outcomes with or without interval appendectomy, needs to be performed. With continued research and definition of populations likely to benefit from advances in technology, a more focused application will be possible. This will lead to improved outcomes and decreased overall cost. The issue of delay in treatment, a major determinant of morbidity associated with appendicitis, warrants further evaluation and should be addressed on a population-specific basis. Emphasis should remain on the early clinical diagnosis of acute appendicitis with its associated low morbidity and mortality.
Surg Clin North Am 1997 Dec
PMID:Have the evaluation and treatment of acute appendicitis changed with new technology? 943 44


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