The appearance of a normal appendix on barium enema examination does not rule out a diagnosis of chronic appendicitis: Report of a case and review of the literature

Surgery Today ◽  
1997 ◽  
Vol 27 (6) ◽  
pp. 550-553 ◽  
Author(s):  
Tatsuro Okamoto ◽  
Tohru Utsunomiya ◽  
Sadaaki Inutsuka ◽  
Tomoru Sakaguchi ◽  
Takayuki Notsuka ◽  
...  
Keyword(s):  
Barium Enema ◽  
Review Of The Literature ◽  
Normal Appendix ◽  
Barium Enema Examination ◽  
Chronic Appendicitis ◽  
Rule Out

scholarly journals The role of ultrasonography in acute appendicitis

2017 ◽  
Vol 4 (5) ◽  
pp. 1769
Author(s):  
Yashwant R. Lamture ◽  
Varsha P. Gajbhiye ◽  
Vinay V. Shahapurkar
Keyword(s):  
Data Analysis ◽  
Acute Appendicitis ◽  
Crucial Role ◽  
Study Data ◽  
Normal Appendix ◽  
Chronic Appendicitis ◽  
Expert Radiologist ◽  
Negative Appendicectomy ◽  
Rule Out

Background:Acute appendicitis is the most common surgical emergency. Inspite of new investigations, mainstay of diagnosis depends on clinical sign and symptoms, laboratory and USG (ultrasonography) of abdomen. Out all these investigations USG is having a crucial role in a diagnosis of it. Hence this study was undertaken to prove its efficacy.Methods: This study was conducted in 418 patients with 186 females and 251 males. Patients were of acute appendicitis operated for appendicectomy were included in the study. Data analysis was done by Stata statistic software. Before surgery patients were subjected for necessary investigations including USG.Results:The mean age was 18.8 (range 8-83) years. Normal appendix found in 22 cases, hence negative appendicectomy rate was 6.6%.  Chronic appendicitis was found in 28 patients. Different pathology was found in 1 in the form of carcinoid of appendix (0.24%) but treated by appendicectomy. USG abdomen in present study showed sensitivity of 88.6% and specificity 92% with PPV and NPV was 98% and 52.3%, frequency reports were s/o acute appendicitis in 337 patients and normal in 82 subjects.Conclusions:It conclude that USG is very important tool to diagnose and rule out appendicitis and its complications like perforation or peritonitis. Its liberal use by expert radiologist can help to reduce negative appendicectomy rate.

Recurrent colorectal carcinoma: evaluation with barium enema examination and CT.

Radiology ◽  
1987 ◽  
Vol 163 (2) ◽  
pp. 307-310 ◽  
Author(s):  
Y M Chen ◽  
D J Ott ◽  
N T Wolfman ◽  
D W Gelfand ◽  
N Karsteadt ◽  
...  
Keyword(s):  
Colorectal Carcinoma ◽  
Barium Enema ◽  
Barium Enema Examination ◽  
Recurrent Colorectal Carcinoma

scholarly journals Bacterial Meningitis in the Absence of Cerebrospinal Fluid Pleocytosis: A Case Report and Review of the Literature

2014 ◽  
Vol 25 (5) ◽  
pp. 249-251 ◽  
Author(s):  
Ryota Hase ◽  
Naoto Hosokawa ◽  
Makito Yaegashi ◽  
Kiyoharu Muranaka
Keyword(s):  
Cerebrospinal Fluid ◽  
Bacterial Meningitis ◽  
Lumbar Puncture ◽  
Early Stage ◽  
Review Of The Literature ◽  
Csf Analysis ◽  
Cell Counts ◽  
Csf Pleocytosis ◽  
Cerebrospinal Fluid Pleocytosis ◽  
Rule Out

Elevation of cerebrospinal fluid (CSF) cell count is a key sign in the diagnosis of bacterial meningitis. However, there have been reports of bacterial meningitis with no abnormalities in initial CSF testing. This type of presentation is extremely rare in adult patients. Here, a case involving an 83-year-old woman who was later diagnosed with bacterial meningitis caused byNeisseria meningitidisis described, in whom CSF at initial and second lumbar puncture did not show elevation of cell counts. Twenty-six non-neutropenic adult cases of bacterial meningitis in the absence of CSF pleocytosis were reviewed. The frequent causative organisms wereStreptococcus pneumoniaeandN meningitidis. Nineteen cases had bacteremia and seven died. The authors conclude that normal CSF at lumbar puncture at an early stage cannot rule out bacterial meningitis. Therefore, repeat CSF analysis should be considered, and antimicrobial therapy must be started immediately if there are any signs of sepsis or meningitis.

Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

2011 ◽  
Vol 15 (1) ◽  
pp. 58-60
Author(s):  
Janice Bacher ◽  
Dalal Assaad ◽  
David N. Adam
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Conservative Management ◽  
Treatment Options ◽  
Pyogenic Granuloma ◽  
Conservative Approach ◽  
Review Of The Literature ◽  
Atypical Case ◽  
Over Time ◽  
Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

Portal Vein Gas Following Barium Enema Examination

Radiology ◽  
1972 ◽  
Vol 102 (3) ◽  
pp. 525-526 ◽  
Author(s):  
C. Jay Kees ◽  
Clifton L. Hester
Keyword(s):  
Portal Vein ◽  
Barium Enema ◽  
Barium Enema Examination

Pegfilgrastim-associated large-vessel vasculitis developed during adjuvant chemotherapy for breast cancer: A case report and review of the literature

2020 ◽  
Vol 26 (7) ◽  
pp. 1785-1790 ◽  
Author(s):  
Jun Nakamura ◽  
Tomoyo M Nishi ◽  
Shun Yamashita ◽  
Hiroaki Nakamura ◽  
Ken Sato ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Adjuvant Chemotherapy ◽  
Supportive Therapy ◽  
Granulocyte Colony Stimulating Factor ◽  
Review Of The Literature ◽  
Breast Cancer Chemotherapy ◽  
Prophylactic Use ◽  
Stimulating Factor ◽  
Rule Out

Introduction Granulocyte colony-stimulating factor (G-CSF) is widely used as a neutrophil supportive therapy in breast cancer chemotherapy. Common adverse events of G-CSF include bone pain, headache, and fatigue; however, reports of G-CSF-associated vasculitis are few. Case report A 66-year-old woman who had undergone surgery for breast cancer received adjuvant chemotherapy with prophylactic use of pegfilgrastim (peg-G). She developed peg-G-associated vasculitis 11 days after initially receiving peg-G. Management and outcome: Although various blood and culture tests were required to rule out other vasculitis syndromes and infections, her symptoms spontaneously disappeared without any treatment other than discontinuation of the causal drug. Discussion G-CSF-associated vasculitis is occasionally accompanied by severe complications such as aortic dissection and aneurysm formation. This case report is important to draw attention towards this rare and difficult-to-diagnosis adverse event of peg-G.

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