scholarly journals Endoscopic retrograde appendicography: an effective diagnostic method for acute appendicitis

2020 ◽  
Author(s):  
Bing-Rong Liu ◽  
Ma Xiao ◽  
Saif Ullah ◽  
Ji-Tao Song ◽  
Ling-Jian Kong ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Method ◽  
Endoscopic Retrograde ◽  
Chronic Appendicitis ◽  
Safe Method ◽  
Medical University ◽  
Suspected Acute Appendicitis ◽  
Cecal Mucosa

Abstract Background and Aim: Appendicography had been used in the diagnosis of chronic appendicitis. To our knowledge, the role of endoscopic retrograde appendicography for the diagnosis of acute appendicitis remains unknown. The aim of this study was to evaluate the role of endoscopic retrograde appendicography for the diagnosis of acute appendicitis.Patients and Method: Patients with suspected acute appendicitis between December 2013 and November 2015 at Second Affiliated Hospital of Harbin Medical University underwent endoscopic retrograde appendicography. The findings and complication were analyzed retrospectively.Results: Thirty-three patients (20 men and 13 women, average age 44 ± 18 years) with suspected acute appendicitis were studied. Acute appendicitis was ruled out by normal endoscopic retrograde appendicography in 24% and confirmed in 69.6% (23). In 2 patients (8%) appendiceal orifice cannulation failed. Colonoscopic findings in acute appendicitis were mucosal hyperemia and edema of appendiceal orifice (83%), outpouring of pus from the appendiceal orifice (74%), and swollen cecal mucosa (61%). Appendicograpic findings were either normal or in acute disease showed diffuse lumenal dilation (diameter: 0.8 ± 0.4 mm), partial stenosis (43%), stiffness or inflexibility (87%) and filling defects (22%). There were no complications during or after follow-up for a median of 13 months (IQR: 9-24 months).Conclusions: Endoscopic retrograde appendicography appears to be a reliable and safe method to confirm or exclude the diagnosis of acute appendicitis and prevent unnecessary appendectomy.

The Role of Renal Scintigraphy in the Diagnosis and Follow-Up of Unilateral ATN After Complete Bilateral Distal Ureteral Obstruction As a Complication of Acute Appendicitis

1998 ◽  
Vol 23 (3) ◽  
pp. 141-145 ◽  
Author(s):  
MONIQUE M.C. TIEL-VAN BUUL ◽  
DANIËL C. ARONSON ◽  
JAAP W. GROOTHOFF ◽  
ROBERTINE VAN BAREN ◽  
JOOST FRENKEL ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Ureteral Obstruction ◽  
Renal Scintigraphy

scholarly journals ROLE OF COMPUTED TOMOGRAPHY IN SUSPECTED ACUTE APPENDICITIS : A STUDY

2014 ◽  
Vol 3 (17) ◽  
pp. 4643-4647
Author(s):  
Yassir M Abdulla ◽  
Reshmina C C Dsouza ◽  
Sandeep M B ◽  
Omprakash A. R ◽  
Tessa J ose Kaneria ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Suspected Acute Appendicitis

scholarly journals The radiologic roadmap for treatment of an acute appendicitis patient who tested positive for coronavirus disease 19

2021 ◽  
Author(s):  
Şeref Barbaros Arik ◽  
Elif Gunaydin ◽  
Celal İsmail Bİlgiç ◽  
İnanç Güvenç
Keyword(s):  
Emergency Department ◽  
Acute Appendicitis ◽  
Standard Treatment ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Bridging Therapy ◽  
Emergency Surgical Intervention ◽  
Pelvic Ct Scan

Objective: In this study, we aimed to emphasize the role of radiological imaging in determining the treatment of a patient, who tested positive for COVID-19 and diagnosed with acute appendicitis during the pandemic. Methods: A 31-year-old patient presented to the emergency department due to abdominal pain. Ultrasound examination, thoracic and pelvic CT scan were performed. Results: Non-complicated appendicitis can be treated conservatively with antibiotics. Treatment can be maintained by starting with IV antibiotics and bridging therapy with oral antibiotics. Conclusion: This study aims to summarize how radiological follow-up can be used to decide on the suitability of the patient for appropriate medical treatment as an alternative to surgery in a patient, whose gold standard treatment is emergency surgical intervention, which is frequently encountered in the emergency department during the COVID-19 pandemic.

scholarly journals The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

2014 ◽  
Vol 03 (09) ◽  
pp. 533-543
Author(s):  
Mohammad Abdulrahman Alshekhani ◽  
Taha A. Alkarbuli ◽  
Naser Abdullah Mohammed Alqazi ◽  
Hiwa A. Hussein ◽  
Qalandar H. Kasnazan ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Hydatid Cysts ◽  
Endoscopic Retrograde

scholarly journals Ultrasonography as a diagnostic tool in acute appendicitis: Rural setup

2017 ◽  
Vol 4 (5) ◽  
pp. 1546
Author(s):  
Yamanur P. Lamani ◽  
Bhimanagouda V. Goudar ◽  
Eshwar B. Kalburgi ◽  
Bheemappa K. Bhavi ◽  
Mohmmedgouse Karikazi
Keyword(s):  
Emergency Department ◽  
Acute Appendicitis ◽  
Clinical Assessment ◽  
Lower Abdominal Pain ◽  
First Line ◽  
Chronic Appendicitis ◽  
Technological Advances ◽  
Uncomplicated Acute Appendicitis ◽  
A Prospective Study ◽  
Suspected Acute Appendicitis

Background: Despite technological advances the diagnosis of appendicitis is still based primarily clinical assessment. The diagnosis of atypical appendicitis remains clinically challenging and is one of the most commonly missed problems in the emergency department. Ultrasonography is highly operator dependent with a consequently wide reported sensitivity range.Methods: This is a prospective study conducted in the department of surgery. All patients with right lower abdominal pain, admitted to HSK hospital Bagalkot, in whom acute appendicitis was suspected were analysed from January 2013 to June 2014.Results: In the present study appendix was visualized in 85% of the patients and periappendiceal collection was found in 7% of patients. Faecolith was found only in 1 case. Out of these 74 cases were uncomplicated acute appendicitis. Perforated acute appendicitis was diagnosed in 6 cases. One case was diagnosed as appendicular abscess and 4 cases were diagnosed as chronic appendicitis. Based on clinical assessment 4 patients were subjected to surgery after 48hours.Conclusions: Graded compression US remains our first line method in rural setup in the evaluation of patients referred with clinically suspected acute appendicitis.

scholarly journals Role of Endoscopic Retrograde Cholangiopancreatography in the Diagnosis of Choledocholithiasis

2016 ◽  
Vol 15 (4) ◽  
pp. 48-52
Author(s):  
Jolanta Borgosz ◽  
Bogusława Kupczak-Wiśniowska ◽  
Beata Podsiadło ◽  
Bogusława Serzysko
Keyword(s):  
Literature Review ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Potential Risk ◽  
Bile Ducts ◽  
Diagnostic Method ◽  
Clinical Symptoms ◽  
Reference Method ◽  
Endoscopic Retrograde ◽  
Life Threatening

Abstract Introduction. Retrograde cholangiopancreatography (ERCP) is a validated reference method for detection and treatment of choledocholithiasis. It can be performed at any stage of treatment. It allows for differentiation of bile retention causes, assessment of the level of bile ducts dilation, location of the obstruction level and establishment of recommendations for invasive bile ducts tests. Despite varied course of choledocholithiasis, swift detection and removal of stones from bile ducts should be striven for due to a potential risk of life-threatening complications.Aim. The aim of the study was to evaluate the diagnostic effectiveness of the retrograde cholangiopancreatography in patients with suspected bile ducts choledocholithiasis.Material and methods. Based on the literature review, the retrograde cholangiopancreatography in the diagnostics of bile ducts choledocholithiasis has been evaluated. Identification of choledocholithiasis, regardless of clinical symptoms, is associated with the decision to remove deposits from bile ducts. ERCP is the method of choice.Conclusions. As studies by numerous authors show, cholelithiasis can be the leading cause of cholangitis and pancreatitis. Diagnostic ERCP with evacuation deposits remains the most recommended diagnostic method in such cases.

Current status and clinical association of beta-catenin with juvenile nasopharyngeal angiofibroma

2016 ◽  
Vol 130 (10) ◽  
pp. 907-913 ◽  
Author(s):  
A Mishra ◽  
V Singh ◽  
V Verma ◽  
S Pandey ◽  
R Trivedi ◽  
...  
Keyword(s):  
Juvenile Nasopharyngeal Angiofibroma ◽  
Current Status ◽  
Beta Catenin ◽  
Nasopharyngeal Angiofibroma ◽  
Facial Profile ◽  
Over Expression ◽  
Enhanced Expression ◽  
Medical University

AbstractObjective:A possible role of the APC/beta-catenin pathway in the pathogenesis of sporadic juvenile nasopharyngeal angiofibroma has been suggested. This paper presents its current status and clinical association in our patients.Method:A prospective observational study was conducted at King George Medical University and Central Drug Research Institute, in Lucknow, India. Western blot analysis was undertaken in 16 cases to examine beta-catenin expression. The clinical details were recorded along with follow up observations, to determine associations.Results:Up-regulation of beta-catenin expression was seen in 69 per cent of cases. The clinical variables did not reveal significant differences between patients with extremes of expression (extreme under- vs over-expression). However, absent expression was shown exclusively in young adults aged over 18 years, while enhanced expression was associated with an altered facial profile.Conclusion:Although a beta-catenin association was seen in a subset of our sporadic juvenile nasopharyngeal angiofibroma cases, its expression was not homogeneous. This is in contrast to the Western literature that suggests a universal (homogenous) enhanced expression in the majority. Hence, further research is required to better define its molecular cascade.

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