scholarly journals The Effect of Delayed Surgery in Adult Patients with Acute Appendicitis

2009 ◽  
Vol 76 (6) ◽  
pp. 360 ◽  
Author(s):  
Min A Lee ◽  
Min Chung ◽  
Young Don Lee ◽  
Jung Nam Lee ◽  
Woon Ki Lee ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Adult Patients ◽  
Delayed Surgery

Causes of acute peritonitis in 1188 consecutive adult patients in Ghana

2005 ◽  
Vol 35 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Michael Ohene-Yeboah
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Communicable Diseases ◽  
Adult Patients ◽  
Emergency Unit ◽  
Ileal Perforation ◽  
Acute Peritonitis ◽  
Generalized Peritonitis ◽  
Previous Series

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.

Insurance Status, but Not Race, Predicts Perforation in Adult Patients with Acute Appendicitis

2007 ◽  
Vol 205 (3) ◽  
pp. 445-452 ◽  
Author(s):  
Fredric M. Pieracci ◽  
Soumitra R. Eachempati ◽  
Philip S. Barie ◽  
Mark A. Callahan
Keyword(s):  
Acute Appendicitis ◽  
Adult Patients ◽  
Insurance Status

Insurance status, but not race, predicts perforation in adult patients with acute appendicitis

2006 ◽  
Vol 203 (3) ◽  
pp. S64-S65
Author(s):  
Fredric M. Pieracci ◽  
Soumitra Eachempati ◽  
Philip S. Barie ◽  
Mark A. Callahan
Keyword(s):  
Acute Appendicitis ◽  
Adult Patients ◽  
Insurance Status

scholarly journals AB078. Circulating fibrocytes are predictors of acute appendicitis in adult patients

2020 ◽  
Vol 4 ◽  
pp. AB078-AB078
Author(s):  
Mohamed Awad Zarog ◽  
Donal Peter O’Leary ◽  
Miranda Kiernan ◽  
Jarlath Bolger ◽  
Paul Tibbitts ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Adult Patients ◽  
Circulating Fibrocytes

scholarly journals Appendiceal Malignancy: The Hidden Risks of Nonoperative Management for Acute Appendicitis

2019 ◽  
Vol 85 (2) ◽  
pp. 223-225
Author(s):  
Kristen M. Westfall ◽  
Rebecca Brown ◽  
Anthony G. Charles
Keyword(s):  
Acute Appendicitis ◽  
Nonoperative Management ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Standard Of Care ◽  
Operative Management ◽  
Adult Patients ◽  
Appendiceal Cancer ◽  
Retrospective Case ◽  
Appendiceal Neoplasm

One potential harm of nonoperative management for acute appendicitis is missed appendiceal cancer, a rare and often aggressive malignancy due to the frequency of late stage of diagnosis. Previous studies have reported an increasing incidence of appendiceal neoplasms in the population. This is a retrospective case–control study of 1007 adult patients, who presented to the University of North Carolina-Memorial Hospital (UNC-MH) between 2011 and 2015 with clinical signs and symptoms of appendicitis. We evaluated the incidence of primary appendiceal cancer in this population and determined factors that predict appendiceal cancer diagnosis using multi-variate logistic regression analysis. The overall incidence of appendiceal neoplasm for adult patients presenting to UNC-MH with appendicitis from 2011 to 2015 was 2.3 per cent (23/1007). The incidence in patients without appendiceal perforation on pathology was 1.9 per cent (16/832). Age (odds ratio (OR) 1.03), number of days of abdominal pain (OR 1.16), self-reported fever (OR 2.08), appendiceal width (OR 1.95), and appendiceal wall thickness (OR 1.30) were predictors of appendiceal neoplasm diagnosis in patients that present with acute appendicitis. We recommend that an operative approach to acute appendicitis should remain the standard of care because operative management may not only be diagnostic but potentially therapeutic.

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