Search results for " Appendicitis"
showing 7 items of 27 documents
Risk factors for postoperative morbidity following appendectomy in the elderly: a nationwide prospective cohort study
2019
Background: A limited number of studies investigating perioperative risk factors associated with emergency appendectomy in elderly patients have been published to date. Whether older age may be associated with poorer outcomes following appendectomy is still a matter of debate. The primary aim of this study was to determine the predictors of postoperative morbidity following appendectomy in patients aged ≥ 65 years. Methods: Data regarding all elderly patients who underwent emergency appendectomy from January 2017 to June 2018 admitted 36 Italian surgical departments were prospectively collected and analyzed. Baseline demographics and perioperative variables were evaluated. Uni- and multivar…
A bizarre foreign body in the appendix: A case report.
2013
Foreign bodies are rare causes of appendicitis and, in most cases, ingested foreign bodies pass through the alimentary tract asymptomatically. However, ingested foreign bodies may sometimes remain silent within the appendix for many years without an inflammatory response. Despite the fact that cases of foreign-body-induced appendicitis have been documented, sharp and pointed objects are more likely to cause perforations and abscesses, and present more rapidly after ingestion. Various materials, such as needles and drill bits, as well as organic matter, such as seeds, have been implicated as causes of acute appendicitis. Clinical presentation can vary from hours to years. Blunt foreign bodie…
Acute appendicitis in children: not only surgical treatment
2017
Abstract Purpose An accurate diagnosis of acute appendicitis is important to avoid severe outcome or unnecessary surgery but management is controversial. The aim of study was to evaluate, in younger and older children, the efficacy of conservative management for uncomplicated appendicitis and the outcome of complicated forms underwent early surgery. Methods Children with acute appendicitis were investigated by clinical, laboratory variables and abdominal ultrasound and divided in two groups: complicated and uncomplicated. Complicated appendicitis underwent early surgery; uncomplicated appendicitis started conservative treatment with antibiotic. If in the next 24–48 h it was worsening, the c…
An atypical clinical presentation of acute appendicitis in a young man with midgut malrotation
2007
Abstract Midgut malrotation occurs as a result of failure in normal intestinal rotation and fixation during early pregnancy. Pathological conditions reported in the literature involving midgut malrotation predominantly relate to infants and children. In adults malrotation is often revealed as an incidental finding on computed tomography (CT), or the associated altered anatomy can be the cause of atypical clinical symptoms of relatively common intestinal disorders. An unusual presentation of acute appendicitis, with fever and recurrent pain in left iliac fossa is reported. Underlying intestinal malrotation delayed the correct clinical diagnosis of acute appendicitis. It was not until a CT sc…
A case of Kawasaki disease mimicking acute appendicitis
2007
Kawasaki disease (KD) is an acute vasculitis of unknown aetiology occurring mostly in infants and young children. KD is characterized by fever (≥5 days), conjunctivitis, rash, cervical lymphadenopathy, lips, oral mucosa, palms and soles erythema, hands and feet oedema [1]. Coronary artery aneurysms develop in 15-25% of untreated children [2] with risk of ischemic heart disease, myocardial infarction, sudden death [3;4]. Treatment with intravenous gamma globulins (IVIG) within the first 10 days reduces the incidence of aneurysms to <5% [4]. The KD diagnosis is clinical, based on the recognition of a characteristic set of signs and symptoms [4]. Children not meeting traditional criteria are c…
Prospective Observational Study on acute Appendicitis Worldwide (POSAW)
2018
Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments.
Jauna pieeja akūta apendicīta ārstēšanai bērnu vecuma pacientiem Latvijā 2014 - 2017
2018
Problēmas būtība: Vēsturiski vienīgā ārstēšanas metode akūta apendicīta gadījumā ir ķirurģiskā. Bet attistoties famakoloģijai un radiloģijai akūts apendicīts mūsdienās tiek ārstēts arī konsevatīvi. Akūta apendicīta gadījumā pats galvenais ir neatliekama pacienta hospitalizācija ka arī savlaicīga konservatīva vai ķirurģiska ārstēšana. Savlaicīga diagnostika noverš negatīvo apendektomijas skaitu, ietekmē hospitālizācijas ilgumu, kas savukārt ietekmē pacientu no dažādiem aspektiem. Pētījuma mērķi: Noskaidrot akūta apendicīta incidenci bērniem Latvijā un balstoties uz Valsts sabiedrības ar ierobēžotu atbildību “Bērnu klīniskā universitātes slimnīcu” (VSIA BKUS) ārstēto pacientu datiem laikā per…