Acute appendicitis, inflammatory appendiceal mass and the risk of a hidden malignant tumor: a systematic review of the literature
Acute appendicitis is significantly common. Despite the increased use of computed tomography, the number of perforated cases has been stable in the past three decades. Between 2% and 6% of patients with acute ...
We read with interest the article by Naar et al1 published online on 29 July 2020 in Surgery. The authors present results of a post hoc analysis of data from the Eastern Association for the Surgery of Trauma Multicenter Study of the Treatment of Appendicitis in America, which highlighted an increased risk of malignancy for patients older tha n 40 years with appendicitis and with an appendix wider than 10 mm on computed tomography (CT) scan.
The classic findings of acute appendicitis –right lower quadrant (RLQ) pain, anorexia, and leukocytosis–have been well known to physicians since the mid twentieth century. However, emergency medicine and surgical providers continue to rely on imaging to confirm the diagnosis. We aimed to evaluate the increase in reliance on computed tomo graphy (CT) scans for diagnosis of acute appendicitis over time.
PMID: 32996752 [PubMed - in process]
Colonic diverticulosis is thought to be an acquired degeneration associated with age and constipation. However, there has been an increasing incidence of diverticulitis in young patients. We therefore aimed at studying the incidental prevalence of diverticulosis across all ages in patients who did not present with diverticulitis but had CT scans for suspected appendicitis. Special focus was the group of patients
Abstract INTRODUCTION: The classic findings of acute appendicitis-right lower quadrant pain, anorexia, and leukocytosis-have been well known. However, emergency medicine and surgical providers continue to rely on imaging to confirm the diagnosis. We aimed to evaluate the increase in reliance on computed tomography (CT) scans for acute appendicitis diagnosis over time. METHODS: We conducted a retrospective study of patients ≥18 years presenting to UNC Hospitals with signs and symptoms of acute appendicitis who subsequently underwent appendectomy from 2011 to 2015. Demographic, clinical, laboratory, and path...
ConclusionAH is a rare type of inguinal hernia usually complicated by appendicitis. Hernia reconstruction should be tailored to each patient individually according to the extent of inguinal canal inflammation.
This retrospective study was aimed to determine the factors suggesting the need for computed tomography (CT) scanning when ultrasound (US) imaging results are negative or non-diagnostic in children suspicious for acute appendicitis in the emergency department. Patients less than 18 years old who underwent abdominal ultrasound and CT to rule out acute appendicitis were enrolled. Patients were classified into 2 groups: the false-negative group, in which patients had negative or non-diagnostic results on the initial US and a final diagnosis of acute appendicitis on the following abdominal CT, and the true-negative group, in ...
Children who have developmental difficulties undergo CT for suspected appendicitis...Read more on AuntMinnie.comRelated Reading: AI algorithm detects appendicitis on CT exams in ER Academic pediatric facilities have lower CT radiation dose CT scans may be linked to brain cancer in kids CT dose tracking highlights differences among kids in ER Kids get more CT radiation at nonpediatric hospitals
Eur J Pediatr Surg DOI: 10.1055/s-0040-1715439 Introduction To standardize care and reduce resource utilization, we implemented a standardized protocol (SP) for the nonoperative treatment of complicated appendicitis. Materials and Methods We conducted a prospective, historically controlled, study of patients
(American College of Surgeons) Computed tomography (CT) is used at a higher rate than ultrasound in children with developmental and cognitive impairments to diagnose appendicitis, even though CT scans increase radiation risk in smaller bodies.