scholarly journals The value of pancreatic stone protein in predicting acute appendicitis in patients presenting at the emergency department with abdominal pain

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Christoph Tschuor ◽  
Dimitri Aristotle Raptis ◽  
Përparim Limani ◽  
Thomas Bächler ◽  
Christian Eugen Oberkofler ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Pancreatic Stone Protein ◽  
Pancreatic Stone

Appendicitis: a rare adverse event in colonoscopy

2021 ◽  
Vol 14 (7) ◽  
pp. e242523
Author(s):  
Samer Al-Dury ◽  
Mohammad Khalil ◽  
Riadh Sadik ◽  
Per Hedenström
Keyword(s):  
Emergency Department ◽  
Adverse Event ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Physical Examination ◽  
De Novo ◽  
Perforated Appendicitis ◽  
Lower Quadrant ◽  
The Right ◽  
Right Lower Quadrant

We present a case of a 41-year-old woman who visited the emergency department (ED) with acute abdomen. She was diagnosed with perforated appendicitis and abscess formation on CT. She was treated conservatively with antibiotics and discharged. On control CT 3 months later, the appendix had healed, but signs of thickening of the terminal ileum were noticed and colonoscopy was performed, which was uneventful and showed no signs of inflammation. Twelve hours later, she developed pain in the right lower quadrant, followed by fever, and visited the ED. Physical examination and blood work showed signs consistent with acute appendicitis, and appendectomy was performed laparoscopically 6 hours later. The patient recovered remarkably shortly afterwards. Whether colonoscopy resulted in de novo appendicitis or exacerbated an already existing inflammation remains unknown. However, endoscopists should be aware of this rare, yet serious complication and consider it in the workup of post-colonoscopy abdominal pain.

Pancreatic stone protein and soluble CD25 for infection and sepsis in an emergency department

2017 ◽  
Vol 47 (4) ◽  
pp. 297-304 ◽  
Author(s):  
Luis García de Guadiana-Romualdo ◽  
Mario Berger ◽  
Enrique Jiménez-Santos ◽  
Sergio Rebollo-Acebes ◽  
Roberto Jiménez-Sánchez ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pancreatic Stone Protein ◽  
Pancreatic Stone ◽  
Soluble Cd25

scholarly journals Mimickers of Acute Appendicitis

2021 ◽  
Author(s):  
Esam Amer
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Imaging Modality ◽  
Correct Diagnosis ◽  
Emergency Setting ◽  
Magnetic Resonance Imaging Mri ◽  
Clinical Conditions

Acute appendicitis (AA) is a common surgical diagnosis in patients presenting to the Emergency Department with acute abdominal pain. A wide variety of other clinical conditions can present with a very similar presentation to acute appendicitis and therefore it can be occasionally challenging to make the correct diagnosis. In this review paper, the focus is to shed some light on the differential diagnosis of acute appendicitis which includes a variety of gastrointestinal, vascular, urological, and gynaecological conditions. In the emergency setting there are three main imaging modalities to evaluate patients presenting with abdominal pain, this includes computed tomography (CT), ultrasound (US) and magnetic resonance imaging (MRI). The choice of imaging modality for each clinical condition is variable and as such being familiar with those differential diagnoses is vital in deciding what is the best imaging modality for every patient presenting with abdominal pain.

scholarly journals Can Fetuin-A Level, CRP, and WBC be a Predictive Value in the Diagnosis of Acute Appendicitis in Children with Abdominal Pain?

2019 ◽  
Author(s):  
Abuzer Coskun ◽  
Cengiz Güney
Keyword(s):  
Emergency Department ◽  
Regression Analysis ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Perforated Appendicitis ◽  
Multivariate Regression Analysis ◽  
Predictive Values ◽  
Fetuin A ◽  
Reactive Protein

Background: Acute appendicitis (AA) is the most common cause of emergency surgery. Perforation is more common than adults. Early diagnosis and new markers are needed. The aim of this study was to investigate the effects of plasma Fetuin-A (FA) levels in patients with the acute abdomen (AB). Material and Method: This prospective study included 107 patients younger than 16 years of age who were admitted to the emergency department for abdominal pain between January 2018 and December 2018. The patients who presented to abdominal pain were divided into two groups as AA and other causes (OC) of AB. T Patients with acute appendicitis; intraperitoneal, retrocolic / retrocecal and appendicitis were divided into three groups. Also, the AA group was divided into two groups as perforated appendicitis and non-perforated appendicitis. Serum FA levels of the patients were evaluated in the emergency department. Results: In the AA group, C-reactive protein (CRP) and white blood cell (WBC) levels were higher, and FA levels were significantly lower than in the AB group. Intraperitoneal localization was 95.2% and perforation was frequent. When significant values in the univariate regression analysis for acute abdomen and perforation were compared in the multivariate regression analysis, CRP, WBC, and FA levels were found to be prognostic. Also, decreased FA levels were associated with AA while too much decreased FA levels were associated with the risk of perforation. Conclusion: While trying to diagnose AA in children, the FA level, CRP and WBC may be predictive values to identify risk factors.

scholarly journals The Diagnostic Values of Ischemia-Modified Albumin in Patients with Acute Abdominal Pain and Its Role in Differentiating Acute Abdomen

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Selman Yeniocak ◽  
Fatma Saraç ◽  
Mustafa Yazıcıoğlu ◽  
Nadiye Karabulut ◽  
Akın Ünal ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdominal Pain ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Ischemia Modified Albumin ◽  
The Mean

Aim. The aim of this study was to evaluate the diagnostic value of serum ischemia-modified albumin (IMA) levels in patients presenting to the emergency department with acute abdominal pain and its use in differentiating acute surgical abdomen. Methods. This single-center prospective cross-sectional study included 334 adult patients who presented to the emergency department. These consisted of 194 patients (Group 1) with nontraumatic abdominal pain commencing in the preceding week, who were definitely diagnosed and either hospitalized in a specific department or planned for discharge, and a control group of 140 patients (Group 2). Results. The mean IMA value of the patients diagnosed with acute appendicitis was statistically significantly higher than that of the control group. The mean IMA value of the patients diagnosed with acute appendicitis, ovarian pathologies, and gastritis-peptic ulcer was statistically significantly higher than that of the nonspecific abdominal pain group. Conclusion. Serum IMA levels can be used as a diagnostic marker in patients with acute appendicitis. Furthermore, serum IMA levels in patients presenting to the emergency department with abdominal pain may be indicative of patients requiring surgery or of complicated cases, particularly in terms of acute appendicitis and ovarian pathologies.

scholarly journals Can Fetuin-A, CRP, and WBC Levels Be Predictive Values in the Diagnosis of Acute Appendicitis in Children with Abdominal Pain?

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 110
Author(s):  
Cengiz Güney ◽  
Abuzer Coskun
Keyword(s):  
Emergency Department ◽  
Regression Analysis ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Perforated Appendicitis ◽  
Multivariate Regression Analysis ◽  
Predictive Values ◽  
Fetuin A ◽  
Reactive Protein

Background: Acute appendicitis (AA) is the most common cause of emergency surgery. Therefore, perforation is common. Early diagnosis and new markers are needed. The aim of this study was to investigate the effects of plasma Fetuin-A (FA) levels in patients with an acute abdomen (AB). Material and Method: This prospective study included 107 patients younger than 16 years of age who were admitted to the emergency department for abdominal pain between January and December 2018. The patients who presented abdominal pain were divided into two groups as AA and other causes (OC) of AB. Patients with acute appendicitis; intraperitoneal, retrocolic/retrocecal, and appendicitis were divided into three groups. Additionally, the AA group was divided into two groups as perforated appendicitis and non-perforated appendicitis. Serum FA levels of the patients were evaluated in the emergency department. Results: In the AA group, C-reactive protein (CRP) and white blood cell (WBC) levels were higher, and FA levels were significantly lower than in the AB group. Intraperitoneal localization was 95.2% and perforation was frequent. When significant values in the univariate regression analysis for acute abdomen and perforation were compared in the multivariate regression analysis, CRP, WBC, and FA levels were found to be prognostic. Furthermore, decreased FA levels were associated with AA, while too greatly decreased FA levels were associated with the risk of perforation. Conclusion: Current diagnosis can be made by history, physical examination, laboratory, and imaging methods in appendicitis cases. While trying to diagnose AA in children, the FA, CRP, and WBC levels may be predictive values to identify risk factors.

scholarly journals Comparative evaluation of the role of Sonography in diagnosis of Acute Appendicitis versus Surgeon`s clinical impression

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Ahsen Nazir Ahmad ◽  
Noor Fatima ◽  
Rana Amjad Hussain ◽  
Qadir SNR
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Clinical Evaluation ◽  
Clinical Judgment ◽  
Ultrasound Examination ◽  
Lower Abdominal Pain ◽  
Clinical Impression ◽  
Abdominal Sonography

A randomly selected group of patients presented in Accidents & Emergency department of Jinnah hospital Lahore with complaint of acute lower abdominal pain were subjected to abdominal sonography and those positive for acute appendicitis on ultrasound examination were operated. Another group of randomly selected patients with acute lower abdominal pain in Emergency department were clinically evaluated for acute appendicitis and surgery was done based on clinical impression (history and classical signs for acute appendicitis). Ultrasound examination showed the following parameters. Sensitivity 71.8%, specificity 62.5%, PPV 88.4%, NPV 35.7%. Clinical evaluation showed the sensitivity of 95.2%, specificity 77.7%, PPV 90.9%, NPV 87.5%. It was concluded on the basis of the results that clinical evaluation of the patient is more sensitive in correctly categorizing those who need appendicectomy than the ultrasound examination. Although the latter can be used in suspected cases and to rule out other pathological conditions resulting in acute abdomen. Limitations: Clinical judgment to a large extent rest on the experience and expertise of the surgeon and so is the quality of sonographic results, which depend on experience of sonographer & quality of ultrasound machine.

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