scholarly journals Unexpected Histopathological Diagnoses in Acute Appendicitis Specimens: A Retrospective Analysis of 2076 Patients

2020 ◽  
Vol 30 (3) ◽  
pp. 151-156
Author(s):  
Ufuk Uylaş ◽  
Ramazan Gündoğdu ◽  
Kazım Gemici ◽  
Marina Tsaplina ◽  
Dila Ayerden
Keyword(s):  
Acute Appendicitis ◽  
Retrospective Analysis

A Retrospective Analysis of the Trends in Acute Appendicitis During the COVID-19 Pandemic

2020 ◽  
Author(s):  
Paige Finkelstein ◽  
Omar Picado ◽  
Kiranmayi Muddasani ◽  
Henry Wodnicki ◽  
Thomas Mesko ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Retrospective Analysis

scholarly journals A Clinicopathological Review of 324 Appendices Removed for Acute Appendicitis in Durban, South Africa: A Retrospective Analysis

2009 ◽  
Vol 91 (8) ◽  
pp. 688-692 ◽  
Author(s):  
I Chamisa
Keyword(s):  
South Africa ◽  
Acute Appendicitis ◽  
Retrospective Analysis ◽  
Histopathological Examination ◽  
Carcinoid Tumour ◽  
White Cell Count ◽  
Delayed Presentation ◽  
Midline Laparotomy ◽  
Inflammatory Conditions ◽  
Operative Findings

INTRODUCTION Acute appendicitis remains a common surgical condition and the importance of specific elements in the clinical diagnosis remain controversial. A variety of neoplastic and inflammatory conditions mimic acute appendicitis. The purpose of this study was to determine the presenting pattern of acute appendicitis and to review the pathological diagnosis. PATIENTS AND METHODS This is a retrospective analysis of 324 patients who had appendicectomy for acute appendicitis at Prince Mshiyeni Memorial Hospital (Natal, South Africa) during the period January 2002 to December 2004. Patient demographics, clinical features, white cell count, operative findings, outcome and histology results were recorded on a special patient proforma. RESULTS A total of 371 patients underwent appendicectomy during this period and 324 (M:F, 3.6:1) were available for analysis. The majority of our patients were in the second decade (43.1%) with only 29.3% presenting within 24 h of onset of symptoms. The most common symptoms were abdominal pain (100%), vomiting (57.4%) and anorexia (49.0%). Generalised and localised abdominal tenderness were present in 62.0% and 19.4% of patients, respectively. Pyrexia was noted in 41.0%. Localised and generalised peritonitis were present in 26.4% and 14.0%, respectively. The most common incisions were lower midline laparotomy (47.2%) and gridiron (37.3%). The negative appendicectomy rate was 17.0%. Acute appendiceal inflammation and gangrenous appendicitis was present in 36.1% and 9.6%, respectively. The perforation rate was 34.0% and there was a direct correlation with delayed presentation. There were no patients with carcinoid tumour or adenocarcinoma. Parasites and other associated conditions were seen in 8.6% of cases. Postoperative complications included: wound sepsis (25.3%), prolonged ileus (6.2%), peritonitis (4.6%) and chest infection (3.4%). Four patients died (1.2%) all from the perforated group. CONCLUSIONS Our patients present late with advanced disease and complications. All surgeons should bear in mind the possibility of parasitic infestations mimicking acute appendicitis and the presence of significant unusual histological findings in our setting justifies routine histopathological examination of appendices.

Application of a clinical score for the diagnosis of acute appendicitis in childhood: A retrospective analysis of 197 patients

2000 ◽  
Vol 35 (9) ◽  
pp. 1320-1322 ◽  
Author(s):  
G. Dado ◽  
G. Anania ◽  
U. Baccarani ◽  
E. Marcotti ◽  
A. Donini ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Retrospective Analysis ◽  
Clinical Score

scholarly journals Clinicopathological review of 156 appendicectomies for acute appendicitis in children in Ile-Ife, Nigeria: a retrospective analysis

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Talabi O Ademola ◽  
Sowande A Oludayo ◽  
Olowookere A Samuel ◽  
Etonyeaku C Amarachukwu ◽  
Komolafe O Akinwunmi ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Retrospective Analysis

scholarly journals Reliability of Standardized Reporting System of acute appendicitis in adults at low-dose 320-rows CT

2019 ◽  
Author(s):  
Shravan Mahankali ◽  
Ahmed Abdel Razek ◽  
shefeek abubacker ◽  
venugopal naik chavan
Keyword(s):  
Image Analysis ◽  
Acute Appendicitis ◽  
Retrospective Analysis ◽  
Low Dose ◽  
Reporting System ◽  
Fluid Collection ◽  
Outer Wall ◽  
Observer Agreement ◽  
Standardized Reporting ◽  
Fat Stranding

Abstract Aim: To assess reliability of standardized reporting system of acute appendicitis at low-dose 320-rows CT. Methods: Retrospective analysis CT of 78 patients with pathologically proven acute appendicitis. The study was performed at low-dose 320-rows CT. The image analysis was performed by 2 radiologists according to standardized reporting system of acute appendicitis. Results: There was excellent overall of inter-observer agreement of both observers for standardized reporting system of acute appendicitis ( K = 0.89, 95% CI = 0.87-0.92, P = 0.001). There was good inter-observer agreement for visualization of appendix (K = 0.78, P = 0.001), tip diameter ( K = 0.75, P = 0.001), and single wall thickness of appendix ( K =0.77, P = 0.001). There was excellent inter-observer agreement for outer to outer wall diameter ( K = 0.82 , P = 0.001), mucosal hyper-enhancement ( K =0.80, P = 0.001), appendicolith ( K = 0.86, P = 0.001), gas in appendix ( K = 0.82, P = 0.001), surrounding fat stranding ( K = 0.81, P = 0.001), focal cecal thickening ( K = 0.85, P = 0.001), peri-appendiceal air ( K = 0.87, P = 0.001), peri-appendicular fluid collection, phlegmon, or abscess ( K = 0.82, P = 0.001), and right ovary cyst ( K = 0.83, P = 0.001). Conclusion: we concluded that excellent reliability of standardized reporting system of acute appendicitis in adults using low-dose 320-rows CT.

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