scholarly journals Ūminis skausmas dešinėje klubinėje srityje: ar visada tai apendicitas?

2010 ◽  
Vol 8 (2) ◽  
pp. 0-0
Author(s):  
Agnius Juška ◽  
Ieva Žostautienė ◽  
Jonas Pivoriūnas ◽  
Jonas Jurgaitis ◽  
Marius Paškonis ◽  
...  
Keyword(s):  
Pathological Condition ◽  
Iliac Fossa ◽  
University Hospital ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Surgical Trainees ◽  
G 21 ◽  
Right Iliac Fossa Pain ◽  
Vilnius University

Agnius Juška1, Ieva Žostautienė1, Jonas Pivoriūnas1, Jonas Jurgaitis2, Marius Paškonis2, 3, Vytautas Lipnickas2, Kęstutis Strupas21Vilniaus universiteto Medicinos fakultetas,M. K. Čiurlionio g. 21, LT-03101 Vilnius2Gastroenterologijos, urologijos ir abdominalinės chirurgijos klinika, Vilniaus universiteto ligoninė Santariškių klinikos,Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Aklosios žarnos pavienis divertikulas – reta patologija ir pagal požymius beveik neatskiriama nuo ūminio apendicito. Aklosios žarnos divertikulitas gali nesukelti simptomų tol, kol nepasireiškia uždegimas, divertikulas neprakiūra ar iš jo neprasideda kraujavimas. Nors atliekami echoskopiniai ir kompiuterinės tomografijos tyrimai, tikslią diagnozę prieš operaciją vis vien sunku nustatyti ir dažniausiai ji paaiškėja operuojant. Nors ši liga reta Vakarų šalyse, ją reikia turėti omenyje diferencijuojant tuomet, kai pacientas skundžiasi skausmu dešinėje klubinėje srityje. Dėl to į šią retą būklę norime atkreipti ne tik chirurgų bet ir kitų gydytojų dėmesį. Reikšminiai žodžiai: pavienis aklosios žarnos divertikulas, divertikulitas dešinėje, skausmas apatiniame dešiniajame kvadrante, įgimtas aklosios žarnos divertikulas. Acute pain in right iliac fossa region – is it always an appendicitis? Agnius Juška1, Ieva Žostautienė1, Jonas Pivoriūnas1, Jonas Jurgaitis2, Marius Paškonis2, 3, Vytautas Lipnickas2, Kęstutis Strupas21Vilnius University Faculty of Medicine,M. K. Čiurlionio str. 21, LT-03101 Vilnius, Lithuania2Clinic of Gastroenterology, Urology and Abdominal Surgery, Vilnius University Hospital Santariškių Clinics,Santariškių Str. 2, LT-08661 Vilnius, LithuaniaE-mail: [email protected] Solitary diverticulum of caecum is an uncommon pathological condition almost indistinguishable from acute appendicitis. Caecal diverticulitis can be asymptomatic until it becomes inflamed, perforated or begins to bleed. In spite of routine ultrasonography and computer tomography findings, correct preoperative diagnosis is still difficult and is usually made in the operating theater. Although this condition is very rare in Western countries, it should be considered in the differential diagnosis for patients complaining of right iliac fossa pain. Therefore, the aim of this case report is to improve the awareness of this condition not only among surgical trainees but also among the rest of medical staff. Key words: solitary diverticulum of the caecum, right diverticulitis, right lower quadrant pain, congenital diverticulum of the caecum.

scholarly journals Cecal Endometriosis Presenting as Acute Appendicitis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hamidreza Alizadeh Otaghvar ◽  
Mostafa Hosseini ◽  
Ghazaal Shabestanipour ◽  
Adnan Tizmaghz ◽  
Gandom Sedehi Esfahani
Keyword(s):  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Right Hemicolectomy ◽  
Right Colon ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Iliac Fossa Pain ◽  
Right Lower Quadrant

The aim of our paper is to show the diagnosis of Coecal endometriosis as an infrequent reason of right iliac fossa pain. cecal endometriosis manifesting with right lower quadrant pain is difficult to diagnose, and it may even sometimes require laparotomy for diagnosis and treatment. We report here a case of cecal endometriosis causing clinically resembled acute appendicitis. In our patient, a diagnosis of cecal endometriosis was made postoperatively by microscopic examination of excised right colon, and the patient symptoms and general condition were improved after the surgery (open right hemicolectomy and ileocolic anastomosis).

Right Lower Quadrant Pain: Value of the Nonvisualized Appendix in Patients at Multidetector CT

Radiology ◽  
2006 ◽  
Vol 241 (1) ◽  
pp. 175-180 ◽  
Author(s):  
Suvranu Ganguli ◽  
Vassilios Raptopoulos ◽  
Fabio Komlos ◽  
Bettina Siewert ◽  
Jonathan B. Kruskal
Keyword(s):  
Multidetector Ct ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

scholarly journals The Prevalence ofYersiniaInfection in Adult Patients with Acute Right Lower Quadrant Pain

2011 ◽  
Vol 57 (1) ◽  
pp. 14 ◽  
Author(s):  
Jun Young Jung ◽  
Young Sook Park ◽  
Dae Hyun Baek ◽  
Jeoung Ho Choi ◽  
Yun Ju Jo ◽  
...  
Keyword(s):  
Adult Patients ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

scholarly journals A rare case of right lower quadrant pain

2019 ◽  
Vol 5 (2) ◽  
pp. 20170024
Author(s):  
Eduardo Teiga ◽  
Aleksandar Radosevic ◽  
Juan Sánchez ◽  
Marcos Busto ◽  
Guadalupe Aguilar ◽  
...  
Keyword(s):  
Pathological Examination ◽  
Childbearing Age ◽  
Diagnostic Challenge ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Lower Back ◽  
Operative Findings ◽  
Right Lower Quadrant

Endometriosis of the appendix is a very rare entity and commonly affects females in childbearing age. Clinical presentation might be confusing varying from asymptomatic to acute abdominal pain and often mimicks acute appendicitis or chronic pelvic pain. Diagnosis is generally made after pathological examination as operative findings are usually non-specific. This condition poses a diagnostic challenge to radiologists and surgeons altogether and we therefore report a case of a middle aged female who presented with both right lower quadrant and right lower back pain. Recent literature is reviewed and radiological findings discussed.

scholarly journals Clinical Prediction Score for Ruptured Appendicitis in ED

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Thidathit Prachanukool ◽  
Chaiyaporn Yuksen ◽  
Welawat Tienpratarn ◽  
Sorravit Savatmongkorngul ◽  
Panvilai Tangkulpanich ◽  
...  
Keyword(s):  
White Blood Cells ◽  
Prediction Score ◽  
Multivariable Logistic Regression Analysis ◽  
Pathology Report ◽  
High Morbidity ◽  
Inclusion Criteria ◽  
Lower Quadrant Pain ◽  
Alvarado Score ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain

Background. Ruptured appendicitis has a high morbidity and mortality and requires immediate surgery. The Alvarado Score is used as a tool to predict the risk of acute appendicitis, but there is no such score for predicting rupture. This study aimed to develop the prediction score to determine the likelihood of ruptured appendicitis in an Asian population. Methods. This study was a diagnostic, retrospective cross-sectional study in the Emergency Medicine Department of Ramathibodi Hospital between March 2016 and March 2018. The inclusion criteria were age >15 years and an available pathology report after appendectomy. Clinical factors included gender, age>60 years, right lower quadrant pain, migratory pain, nausea and/or vomiting, diarrhea, anorexia, fever>37.3°C, rebound tenderness, guarding, white blood cell count, polymorphonuclear white blood cells (PMN) > 75%, and pain duration before presentation. The predictive model and prediction score for ruptured appendicitis were developed by multivariable logistic regression analysis. Result. During the study period, 480 patients met the inclusion criteria; of these, 77 (16%) had ruptured appendicitis. Five independent factors were predictive of rupture, age>60 years, fever>37.3°C, guarding, PMN>75%, and duration of pain>24 hours to presentation. A score >6 increased the likelihood ratio of ruptured appendicitis by 3.88 times. Conclusion. Using the Ramathibodi Welawat Ruptured Appendicitis Score (RAMA WeRA Score) developed in this study, a score of >6 was associated with ruptured appendicitis.

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

Sign in / Sign up

Export Citation Format

Share Document