Acute appendicitis

2017 ◽  
Vol 10 (10) ◽  
pp. 602-607 ◽  
Author(s):  
Magnus James
Keyword(s):  
Acute Appendicitis ◽  
History Of Medicine ◽  
Morbidity And Mortality ◽  
Surgical Emergencies ◽  
History Of

The appendix was discovered in the 1500s, with the first successful appendectomy being performed in 1735. Throughout the history of medicine, diseases of the appendix have managed to cause confusion among doctors and harm to patients. Morbidity and mortality from appendicitis are improving, but still place a large burden on healthcare. Appendicitis is still one of the commonest surgical emergencies and the aim of this article is to review the incidence, presentation and management of acute appendicitis.

Death caused by appendicular knotting and small-bowel strangulation in a child: A case report and review

2018 ◽  
Vol 58 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Andres Rodriguez Zorro ◽  
Jairo Hernando Vivas Diaz
Keyword(s):  
Small Bowel ◽  
Acute Appendicitis ◽  
Manner Of Death ◽  
Abdominal Symptoms ◽  
First Case ◽  
Surgical Emergencies ◽  
History Of ◽  
Small Bowel Strangulation ◽  
Uncommon Condition ◽  
Bowel Strangulation

Acute appendicitis is one of the most common surgical emergencies in paediatrics. However, acute appendicitis in early infancy is an uncommon condition. Furthermore, strangulation of the small intestine through appendicular knotting is described as very unusual in the literature and is generally not well-diagnosed in the clinical context. This article reports the case of a 23-month-old girl who entered the emergency department with a three-day history of abdominal symptoms and who died in less than 24 hours without receiving surgical intervention. The case turned judicial at the request of the parents who claimed lack of clarity in the diagnosis. A medico-legal autopsy was ordered to clarify the cause and manner of death. The autopsy documented herniation, strangulation and torsion of a 70 cm segment of the jejunum/ileum through an appendicular knot caused by the attachment of the distal end of the inflamed appendage to the ileum. The case is relevant because it is the first case of death by appendicular knot and strangulation of small bowel in an infant reported in the literature. The importance of autopsy to clarify the clinical diagnosis is noted.

History of medicine

2001 ◽  
Vol 18 (3) ◽  
pp. 135-136
Author(s):  
David Pearson ◽  
Susan Gove ◽  
John Lancaster
Keyword(s):  
History Of Medicine ◽  
History Of

History of medicine

2005 ◽  
Vol 2 (2) ◽  
pp. 153
Author(s):  
Prakash Singh
Keyword(s):  
History Of Medicine ◽  
History Of

Aneurysms in the history of medicine

VASA ◽  
2002 ◽  
Vol 31 (4) ◽  
pp. 281-286 ◽  
Author(s):  
Bollinger ◽  
Rüttimann
Keyword(s):  
History Of Medicine ◽  
Albert Einstein ◽  
Thomas Mann ◽  
Post Mortem ◽  
John Hunter ◽  
History Of

Die Geschichte des sackförmigen oder fusiformen Aneurysmas reicht in die Zeit der alten Ägypter, Byzantiner und Griechen zurück. Vesal 1557 und Harvey 1628 führten den Begriff in die moderne Medizin ein, indem sie bei je einem Patienten einen pulsierenden Tumor intra vitam feststellten und post mortem verifizierten. Weitere Eckpfeiler bildeten die Monographien von Lancisi und Scarpa im 18. bzw. beginnenden 19. Jahrhundert. Die erste wirksame Therapie bestand in der Kompression des Aneurysmasacks von außen, die zweite in der Arterienligatur, der John Hunter 1785 zum Durchbruch verhalf. Endoaneurysmoraphie (Matas) und Umhüllung mit Folien wurden breit angewendet, bevor Ultraschalldiagnostik und Bypass-Chirurgie Routineverfahren wurden und die Prognose dramatisch verbesserten. Die diagnostischen und therapeutischen Probleme in der Mitte des 20. Jahrhunderts werden anhand von zwei prominenten Patienten dargestellt, Albert Einstein und Thomas Mann, die beide im Jahr 1955 an einer Aneurysmaruptur verstarben.

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