Search results for "appendicitis"

De Garengeot Hernia: Case Report and Review of the Literature of a Rare Femoral Hernia

2021

AbstractDe Garengeot hernia is a rare femoral hernia defined as the presence of the appendix within the femoral hernia sac. The incidence of appendicitis in this type of hernia is a rare condition that accounts for 0.08–0.13% of all De Garengeot hernias. We describe the case of a 61-year-old woman that presented at the emergency department with a tender mass (diameter 10 × 8 cm) in the right groin region for 5 days associated with pain in lower right abdomen and accompanied by fever (38 °C). Computed tomography (CT) of the abdomen revealed the presence of a complex fluid collection with small foci of air in the right inguinal region, measuring 9 × 7 × 10 cm in the 3 orthogonal dimensions an…

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…

The Ultrasonographic Exam for Acute Appendicitis at Patient’s Bed

2019

Abstract Acute appendicitis is one of the most frequent surgical emergencies in children. The diagnosis of this condition is still a challenge for small pre-school children, and, generally, for children, as the wrong diagnosis is 28-57% for children between 2-12 years old. Therefore, the ultrasonographic exam for suspected acute appendicitis at patient’s bed (POCUS) is a necessary and useful paraclinic exam for supporting the diagnosis. The procedure has established: the quality of use in the emergency department (ED) of POCUS by the pediatric emergency doctors; the performance of ultrasonografic exam (US) in acute appendicitis (AA); reduces associated costs for imaging studies by standardi…

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…

Stump appendicitis. A case report

2016

Highlights • Stump appendicitis (SA) is a rare, but noteworthy, diagnosis that warrants early detection. • Delay in the diagnosis of SA may result in serious complications like stump gangrene, perforation and peritonitis. • More research is needed to identify strategies to prevent SA. • We underline the emergent role of lower endoscopy to clarify diagnosis resolve the symptoms. • Surgeons need to have a heightened awareness of the possibility of SA.

Changing trends in surgery for acute appendicitis (Br J Surg 2008; 95: 363–368)

2008

Commentary to Ceresoli M, Tamini N, Gianotti L et al. “Are endoscopic loop ties safe even in complicated acute appendicitis? A systematic review and …

2019

Emergency abdominal surgery after solid organ transplantation: a systematic review

2016

Aims: Due to the increasing number of solid organs transplantations, emergency abdominal surgery in transplanted patients is becoming a relevant challenge for the general surgeon. The aim of this systematic review of the literature is to analyze morbidity and mortality of emergency abdominal surgery performed in transplanted patients for graft-unrelated surgical problems. Methods: The literature search was performed on online databases with the time limit 1990–2015. Studies describing all types of emergency abdominal surgery in solid organ transplanted patients were retrieved for evaluation. Results: Thirty-nine case series published between 1996 and 2015 met the inclusion criteria and were…

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…

Global economic burden of unmet surgical need for appendicitis

2022

Abstract Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capita…