Appendicitis

10.2310/im.4055 ◽

2019 ◽

Author(s):

James Creswell Simpson ◽

Sarah Sebbag

Keyword(s):

Age Groups ◽

Signs And Symptoms ◽

Vermiform Appendix ◽

The United States ◽

Likelihood Ratios ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Right Lower Quadrant Pain ◽

Computed Tomographic ◽

High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis. This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

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Appendicitis

10.2310/gastro.4055 ◽

2019 ◽

Author(s):

James Creswell Simpson ◽

Sarah Sebbag

Keyword(s):

Age Groups ◽

Signs And Symptoms ◽

Vermiform Appendix ◽

The United States ◽

Likelihood Ratios ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Right Lower Quadrant Pain ◽

Computed Tomographic ◽

High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis. This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

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Appendicitis

10.2310/em.4055 ◽

2020 ◽

Author(s):

James Creswell Simpson ◽

Sarah Sebbag

Keyword(s):

Age Groups ◽

Signs And Symptoms ◽

Vermiform Appendix ◽

The United States ◽

Likelihood Ratios ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Right Lower Quadrant Pain ◽

Computed Tomographic ◽

High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis. This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

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Stump Appendicitis: A Comprehensive Review of Literature

The American Surgeon ◽

10.1177/000313480607200214 ◽

2006 ◽

Vol 72 (2) ◽

pp. 162-166 ◽

Cited By ~ 22

Author(s):

Mike K. Liang ◽

Helen G. Lo ◽

Jenifer L. Marks

Keyword(s):

English Language ◽

Signs And Symptoms ◽

The United States ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Comprehensive Review ◽

Right Lower Quadrant Pain ◽

Stump Appendicitis ◽

Appendiceal Stump ◽

Residual Tissue

Appendectomy for appendicitis is one of the most common procedures performed in the United States. Residual tissue left after an initial appendectomy risks the development of stump appendicitis. A comprehensive review of the English-language literature revealed 36 reported cases of stump appendicitis. Typically, patients present with signs and symptoms similar to acute appendicitis; however, due to prior surgery, the diagnosis is difficult and the rate of appendiceal stump perforation is extremely high. Herein, we present a case of a 32-year-old female presenting with right lower quadrant pain, nausea, and fever 5 months after laparoscopic appendectomy. Upon surgery, an appendiceal stump was discovered.

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A Case of Valentino's Syndrome Presenting as Possible Appendicitis

International Surgery ◽

10.9738/intsurg-d-17-00136.1 ◽

2019 ◽

Vol 104 (11-12) ◽

pp. 540-541

Author(s):

Brandon H. Cherry ◽

Denish Patel ◽

Joseph E. Ronaghan

Keyword(s):

Acute Appendicitis ◽

Signs And Symptoms ◽

Perforated Peptic Ulcer ◽

Exploratory Laparotomy ◽

Good Health ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Right Lower Quadrant Pain ◽

The Right ◽

Purulent Fluid

Introduction We present a case of a 24-year-old female who presented with the signs and symptoms of acute appendicitis. Case report When computed tomography and ultrasound were not definitive for the diagnosis, the decision was made to perform a laparoscopic appendectomy. The appendix showed no gross signs of inflammation, so intraoperative esophagogastroduodenoscopy was used to examine for a perforated peptic ulcer. When no perforations were found, exploratory laparotomy was performed and revealed purulent fluid in the right colic gutter and a pinhole perforation in the first part of the duodenum. The defect was repaired and the abdominal space was washed thoroughly and closed. The patient recovered well and was discharged from the hospital in good health. Conclusion Valentino's syndrome is an uncommon cause of right lower quadrant pain and symptoms mimicking acute appendicitis.

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Acquired Diverticulosis of the Vermiform Appendix: A Rare Case Report

ACTA MEDICA IRANICA ◽

10.18502/acta.v59i11.7782 ◽

2021 ◽

Author(s):

Saeedeh Hosseini ◽

Nakisa Niknejad ◽

Arash Dehghan ◽

Nasim Niknezhad ◽

Sorena Hedayati

Keyword(s):

Diverticular Disease ◽

Laboratory Data ◽

Vermiform Appendix ◽

Definitive Treatment ◽

Lower Quadrant Pain ◽

Abdominal Sonography ◽

Lower Quadrant ◽

Chronic Appendicitis ◽

Right Lower Quadrant Pain ◽

Presenting Symptoms

Diverticulosis of the appendix, as a rare and incident disorder, mimics acute or chronic appendicitis and is characterized by herniation of the appendiceal mucosa through the muscular wall. Symptom and laboratory data of diverticular disease usually represent chronic inflammation. In this study, a 43-year-old female with a history of right lower quadrant pain and anorexia represented abdominal tenderness and rebound tenderness in the physical examination and normal laboratory tests. Abdominal sonography did not show any evidence of acute appendicitis. The removed appendix was 12 cm in length and had multiple diverticular protrusions along with it. The histologic examination showed diverticulosis without evidence of inflammation. The patient was discharged two days later in optimal clinical condition. Diverticulosis of the appendix often is confused with acute or chronic appendicitis based on similar presenting symptoms and imaging studies. Although surgery is the definitive treatment of both conditions, an appropriate diagnosis of diverticular disease before surgery is very important because of the association of appendiceal diverticular disease with neoplasm and other complications.

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Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case

Case Reports in Surgery ◽

10.1155/2013/198783 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Markus Gass ◽

Anatol Zynamon ◽

Markus von Flüe ◽

Ralph Peterli

Keyword(s):

Abdominal Wall Defect ◽

Vermiform Appendix ◽

Lower Quadrant Pain ◽

Direct Closure ◽

Lower Quadrant ◽

Wall Defect ◽

Right Lower Quadrant Pain ◽

The Right ◽

Right Lower Quadrant ◽

Hernia Orifice

The herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We report the case of a 62-year-old woman who presented with right lower quadrant pain seven years after Roux-en-Y Cystojejunostomy for a pancreatic cyst. CT scan showed herniation of the vermiform appendix through a former drain-site. A diagnostic laparoscopy with appendectomy and direct closure of the abdominal wall defect combined with mesh reinforcement was performed. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.

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LOWER RIGHT QUADRANT PAIN: A SONO ANATOMICAL PERSPECTIVE

Journal of Anatomical Sciences - Volume 27(2), December 2019 ◽

10.46351/jas.v26i1pp38-43 ◽

2018 ◽

Vol 26 (1) ◽

Author(s):

Vandana Tewari ◽

Shirin Jahan ◽

Rahul Ranjan

Keyword(s):

Radiation Risk ◽

Age Groups ◽

Quadrant Pain ◽

Lower Quadrant Pain ◽

Lower Quadrant ◽

Right Lower Quadrant Pain ◽

Non Invasive ◽

Abdominal Masses ◽

Highly Sensitive ◽

A Prospective Study

Introduction: Ultrasonography has been found to be highly precise in evaluation of various abdominal masses. It is highly sensitive, non-invasive in nature and has no radiation risk. Material & Methods: A prospective study aiming at sonographic evaluation of 133 patients with right lower quadrant pain/mass which includes patients of all age groups and both sexes was planned. In this study, the efficiency of ultrasonography over clinical assessment in determination of the organ of origin was evaluated in a systematic manner according to anatomy of the region. Results: The maximum number of cases belonged to gastrointestinal (GI) pathologies (54%) followed by genitourinary (GU) pathologies (31.6%) while 14% non-gastrointestinal and non-genitourinary origin.

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