Prediction Factors of Perforated Appendix in Acute Appendicitis Adult Patients, Bandung Al-Ihsan Hospital 2013-2014

In a five-year prospective study,1188 consecutive adult patients were admitted and treated for acute generalized peritonitis at the Surgical Emergency Unit of the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively. Other conditions (gastroduodenal perforations, ruptured abscesses, traumatic bowel perforations and amoebic colonic perforations) accounted for fewer than 25% of cases. This paper notes that acute appendicitis and typhoid perforation remain the leading causes of peritonitis in Ghana. Compared with previous series, the importance of appendicitis in acute peritonitis has diminished. The complications of communicable diseases now cause peritonitis more commonly than 35 years ago. This may reflect deteriorating conditions of sanitation and housing during the intervening period.

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The Effect of Delayed Surgery in Adult Patients with Acute Appendicitis

Journal of the Korean Surgical Society ◽

10.4174/jkss.2009.76.6.360 ◽

2009 ◽

Vol 76 (6) ◽

pp. 360 ◽

Cited By ~ 1

Author(s):

Min A Lee ◽

Min Chung ◽

Young Don Lee ◽

Jung Nam Lee ◽

Woon Ki Lee ◽

...

Keyword(s):

Acute Appendicitis ◽

Adult Patients ◽

Delayed Surgery

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Imaging of Acute Appendicitis for Adult Patients

10.31487/j.rdi.2019.03.08 ◽

2019 ◽

Author(s):

Etienne Danse

Keyword(s):

Acute Appendicitis ◽

Adult Patients

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Amyand’s Hernia Complicated by Omental Infarct Presenting as Acute Scrotum: Report of a Case and Review of the Literature

Case Reports in Surgery ◽

10.1155/2015/741353 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Reza Khorramirouz ◽

Amin Bagheri ◽

Alireza Aalam Sahebpour ◽

Abdol-Mohammad Kajbafzadeh

Keyword(s):

Inguinal Hernia ◽

Acute Appendicitis ◽

Emergency Room ◽

Amyand’S Hernia ◽

Acute Scrotum ◽

Review Of The Literature ◽

Strangulated Hernia ◽

Hernia Sac ◽

Perforated Appendix

Inguinal hernia with acute appendicitis known as Amyand’s hernia is uncommon. It may clinically manifest as acute scrotum, inguinal lymphadenitis, or strangulated hernia. The presentation of Amyand’s hernia with acute scrotum has been rarely described. Also, the manifestation of infarcted omentum in the inguinal hernia has been described in one case previously. However, the coexistence of perforated appendix with infarcted omentum in the hernia sac which manifests acute scrotum has not been described previously. Herein, we described a case of a 5-year-old boy, admitted with right tense, painful, and erythematous scrotum in the emergency room. The diagnosis of herniated appendicitis was performed preoperatively by ultrasound. Moreover, the ischemic omentum was confirmed during surgery.

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Prevalence of perforated appendicitis and its determinants in pediatric appendicitis patients admitted in tertiary care centre, South India: a cross sectional study

International Surgery Journal ◽

10.18203/2349-2902.isj20185020 ◽

2018 ◽

Vol 5 (12) ◽

pp. 3926

Author(s):

Chandrashekar S. ◽

Lokesh M. G. ◽

Avinash S. R.

Keyword(s):

Acute Appendicitis ◽

Tertiary Care ◽

Perforated Appendicitis ◽

Cross Sectional Study ◽

Sectional Study ◽

Tertiary Care Centre ◽

Alvarado Score ◽

Cross Sectional ◽

Pediatric Age Group ◽

Perforated Appendix

Background: Appendicitis remains a common indication for urgent surgical intervention in pediatric age group. Acute appendicitis has the highest incidence during the second decade of life. When the diagnosis is performed, perforation could be already present in 30%-75% of children, with young children being at higher risk. The challenge for the practitioner is to perform a timely diagnosis of acute appendicitis in first years of life before complications occur.Methods: A facility based cross sectional study was conducted with sample size of 108. The patients diagnosed and operated for acute appendicitis using Alvarado score were correlated with intra operative findings.Results: Total 108 patients with median age of 11 (IQR 9–13) years, were included in the study in which 66% were male. Overall 18% (95% CI 11%-25%) had perforated appendix and 5% (95% CI 2%-11%) had appendicitis with abscess. Male gender, patients presenting with fever, guarding, rigidity and patients presenting 48 hours after developing symptoms, had higher chance of perforation. Mean count of WBC (17000 v/s 11000) and neutrophils (75% v/s 68%) were found to be higher in patients with perforated appendicitis.Conclusions: One-fifth of the pediatric appendicitis patients presenting in tertiary care patients had perforated appendicitis.

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Evaluation of outcome of early appendectomy in appendicular lump

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20205501 ◽

2020 ◽

Vol 8 (1) ◽

pp. 7

Author(s):

A. S. M. Rezbanul Haque ◽

Bablu Kumar Saha ◽

M. Mahfuzul Haque ◽

M. Abdus Sattar ◽

Upendra Nath Ray ◽

...

Keyword(s):

Acute Appendicitis ◽

Recovery Period ◽

Medical College ◽

Group I ◽

Perforated Appendix ◽

Early Exploration ◽

The Mean ◽

Group Ii ◽

Surgery Department ◽

The Cost

Background: Appendicular lump is a well-known sequalae of acute appendicitis encountered in 2-6% of patients. Successful management of appendicular lump is controversial with different approaches. This study aims to evaluate the outcome of early appendectomy in an appendicular lump.Methods: A total of 210 patients were admitted in surgery and pediatric surgery department of Rangpur medical college and hospital with the diagnosis of acute appendicitis and its sequalae over two years.Results: In this study, sixty patients were included who were presented with an appendicular lump. Maximum patients (50%) were found in the age group of 21-30 years. Males (66.67%) were more affected. Eighty percent of patients were coming from below-average socio-economic conditions. In group I, early appendicectomy had done and outcomes were satisfactory and favorable. In group II, eighteen patients were operated who were admitted at 6 to 8 days after an attack of acute appendicitis, and twelve patients were continued the conservative treatment. In group II, who had done surgery, among them, fourteen patients (77.78%) were found an appendicular abscess, and four patients (22.22%) were found perforated appendix per-operatively. In group I, the mean recovery period was less and they had minimum complications. In group II, the mean recovery period was more and they had more complications.Conclusions: Based on these findings, it can be concluded that early exploration in appendicular lump patients confirm the diagnosis, cures the problem, reduces the cost of management, and shortens the convalescence period and hospital stay with reasonably satisfactory outcomes.

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Retrospective Analysis of Acute Abdomen Surgeries in Adult Patients Due to Acute Appendicitis and Constricted Hernia During Covid-19 Lockdown in Comparison with the Pre Lockdown Period in A Tertiary Hospital in Western Greece

Archives of Clinical and Medical Case Reports ◽

10.26502/acmcr.96550306 ◽

2020 ◽

Vol 04 (06) ◽

Author(s):

Vivian Dedopoulou ◽

Maria Chardalia ◽

Nada Zacharis ◽

Charalampos Potsios ◽

Panagiota Xaplanteri ◽

...

Keyword(s):

Acute Appendicitis ◽

Retrospective Analysis ◽

Acute Abdomen ◽

Tertiary Hospital ◽

Adult Patients ◽

Western Greece

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ROLE OF HYPERBILIRUBINEMIA, ELEVATED CREACTIVE PROTEIN AND LEUCOCYTE COUNT AS A PREDICTIVE FACTOR FOR APPENDICEAL PERFORATION IN ACUTE APPENDICITIS

10.36106/paripex/2101797 ◽

2021 ◽

pp. 1-3

Author(s):

Nagendra Singh Bhadauria ◽

Pawan Kumar ◽

Gunjan Sharma ◽

Amit Singh

Keyword(s):

Acute Appendicitis ◽

Tertiary Care ◽

Diagnostic Value ◽

Primary Data ◽

Laboratory Marker ◽

Reactive Protein ◽

Life Threatening ◽

Perforated Appendix ◽

Appendiceal Perforation

Background: Appendiceal perforation in patients with acute appendicitis may cause a variety of potentially life-threatening complications. Escherichia coli endotoxin has been shown to impact physiological bile flow in vivo. This had led to the theory that hyperbilirubinemia and elevated CRP in patients with appendicitis may have a predictive potential for the preoperative diagnosis of appendiceal perforation. Objectives: The aim of this retrospective study was to investigate the diagnostic value of hyperbilirubinemia and elevated CRP as a preoperative laboratory marker for appendiceal perforation in patients with acute appendicitis. Thus a new marker for appendiceal perforation would be welcomed. Thus, the need for the study is to conclude whether the Serum Bilirubin or CRP can be considered as a new laboratory marker to aid in the diagnosis of Appendicular Perforation. Materials and methods: All patients admitted with clinical diagnosis of "Acute Appendicitis" or "Appendicular Perforation" and undergoing surgery in General Surgery Dept in Tertiary Care Teaching Hospital were taken as Subjects for this study. The primary data for this study were the blood investigations of the patients. 200 patients with concerned consent and meeting the inclusion criteria were included in the study. The necessary clinical and lab details were obtained in a prewritten format. The intraoperative findings were noted and documented precisely. Upon completion of data collection the preoperative bilirubin levels of the perforated and uncomplicated groups wereOther clinical and lab parameters obtained during the study were compared between the two groups. All parameters were subjected to statistical analysis and evaluated critically. Results: A total of 200 patients participated in the study. Of the 200 patients studied 132 patients were males and 68 patients were females. The youngest patient was 13 years old and the oldest 64 years. Among all the patients operated with a diagnosis of Acute Appendicitis 92 were found to have a perforated appendix, and 108 were found to have a non-perforated appendix. It was observed that among 92 patients with perforated appendix 86 patients showed a raised CRP levels and 58 patients had a raised Bilirubin levels. However in case of non-perforated cases it was found that among the 108 cases 82 patients had a raised CRP levels and 36 patients showed raised bilirubin levels. Conclusion: Hence Logistic Regression technique revealed that the C- reactive protein and Hyperbilirubinemia can be used to predict the appendicular perforation preoperatively and that their roles are comparable and that there is no definitive advantage of one over the other for the same.

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