Sensitivity, Specificity and Reliability of the RIPASA Score for Diagnosis of Acute Appendicitis in Relation to the Alvarado Score

Conclusions The RIPASA score is a more specific, convenient and accurate system than the Alvarado score for the Mexican population.
Source: Cirugia Espanola - Category: Surgery Source Type: research

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Rosai-Dorfman disease (RDD) is a rare non-Langerhans cell histiocytic proliferation that occurs in nodal and extranodal sites. Rare examples of the disease involving the digestive system have been described. To characterize the digestive tract manifestations of this disease, 12 specimens from 11 patients with extranodal RDD affecting the digestive organs were analyzed. Hematoxylin and eosin sections and available immunohistochemical stains were reviewed, and the clinical information was obtained from patients’ electronic or submitted records. Eight patients were female and 3 male (median age, 65 y; range, 17 t...
Source: The American Journal of Surgical Pathology - Category: Pathology Tags: Original Articles Source Type: research
Publication date: Available online 8 November 2019Source: Journal of Visceral SurgeryAuthor(s): M.A. Joly, A. Aime, J.-B. Souraud, B. MalgrasSummaryMyxoglobulosis is a particular, rare, form of appendicular mucocele, characterized by the presence of numerous, occasionally calcified, globules that are grouped together like grapes, and look like pearls or fish eggs, in the appendicular lumen. The diagnosis of myxoglobulosis is most often fortuitous, but sometimes, can be made in the face of acute appendicitis or another setting of abdominal pain. Imaging (sonography or computerized tomography (CT)) is highly suggestive when ...
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
Authors: Consalvo V, D'Auria F Abstract BACKGROUND: The laparoscopic appendectomy approach (LAA) for acute appendicitis has fewer intra- and post-operative complications, less pain, and smaller scars compared to the traditional open appendectomy approach (OAA), but a higher frequency of intra-abdominal abscess (IAA). The relationship between this higher frequency of IAA and the omission of appendicular stump invagination is difficult to explain, even though such invagination of the appendicular stump is the only difference between standard LAA and OAA. PMID: 31687786 [PubMed - as supplied by publisher]
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local a...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
Publication date: Available online 4 November 2019Source: Journal of Visceral SurgeryAuthor(s): A. Faul, A. Laforest, D. FuksSummaryAppendix intussusception is rare, can be responsible of chronic unexplained abdominal pain and is mostly associated with inflammatory changes or endometriosis. A 23-year-old woman with Crohn's disease was diagnosed invaginated appendix by CT-scan and colonoscopy after several acute atypical abdominal pain episodes. These episodes were suspected to be independent of the Crohn's disease and to be attributed to the intussusception itself. A resection combining ligation of the base by colonoscopy ...
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
A 29-year-old male presented with a 1-week history of nausea, vomiting, fevers, and chills. At presentation he was febrile, tachycardic, and exhibited right-sided abdominal pain. Initial workup revealed a white blood count of 13.1, bilirubin 4.3, and mild elevation of transaminases. Computed tomography (CT) scan of the abdomen and pelvis revealed a thickened distal terminal ileum, a dilated and inflamed appendix with an appendicolith (Fig 1), and a nonocclusive thrombus within the superior mesenteric vein (Fig 2).
Source: Surgery - Category: Surgery Authors: Source Type: research
ConclusionWe reported a Tunisian case of Paneth cell colonic adenocarcinoma. The diagnosis is challenging in biopsies when only well-differentiated areas are sampled. Lysozyme immune-histochemical stain may be helpful when diagnosis difficulty arises. The beta-catenin pathway seems to be activated. More studies are needed for the etiology, pathogenesis, clinical course, prognosis and treatment of Paneth cell carcinoma.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
CONCLUSIONInspection of the staple line, choosing the appropriate staple size and cartridge, and removing free malformed staples if seen should be employed during appendectomy to prevent rare but devastating complications.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conclusion: This was a rare and challenging case of sarcomatoid renal cell carcinoma metastasis to the small intestine with loss of some renal cell carcinoma markers, reinforcing the aggressive nature of this entity and the importance of correlating findings with the prior history for reaching correct diagnosis.
Source: In Vivo - Category: Research Authors: Tags: Clinical Studies Source Type: research
Conclusion: Pain semiology can improve the diagnostic utility of the current AS. PMID: 31631188 [PubMed - in process]
Source: Cirugia y Cirujanos - Category: Surgery Authors: Tags: Cir Cir Source Type: research
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