Conservative management of cecal diverticulitis mimicking acute appendicitis in a pregnant woman

2012 ◽  
Vol 55 (12) ◽  
pp. 986
Author(s):  
Won Ku Choi ◽  
Yun Kyung Song ◽  
Sun Young Kim ◽  
Chul Hee Rheu ◽  
Young Ju Jeong ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Acute Appendicitis ◽  
Conservative Management ◽  
Cecal Diverticulitis

scholarly journals Case-based review: conservative management of appendicitis – are we delaying the inevitable?

2012 ◽  
Vol 94 (4) ◽  
pp. 232-234 ◽  
Author(s):  
S Davies ◽  
A Peckham-Cooper ◽  
A Sverrisdottir
Keyword(s):  
Acute Appendicitis ◽  
Conservative Management ◽  
Surgical Intervention ◽  
Primary Treatment ◽  
Spontaneous Resolution ◽  
Primary Treatment Modality ◽  
Uncomplicated Appendicitis ◽  
Recurrent Appendicitis ◽  
Appendiceal Inflammation ◽  
Surgical Presentation

Acute appendicitis is a common surgical presentation for which surgical intervention, an appendicectomy, has remained a largely unchallenged primary treatment modality. Traditionally, it has been felt that the pathophysiological progressive nature of appendicitis ultimately leads to perforation. A number of recent studies, however, suggest that the process of appendiceal inflammation may follow a more remitting nature with evidence indicating spontaneous resolution. It is hypothesised that the treatment of uncomplicated appendicitis may therefore be amenable to conservative management with antibiotics. This article aims to highlight some of the issues and challenges relating to the conservative management of acute appendicitis and further demonstrates potential diagnostic and treatment difficulties involved in managing the more unfamiliar condition of recurrent appendicitis.

scholarly journals A Case of Single-Port Appendectomy for Acute Appendicitis in a 20-Week Pregnant Woman

2020 ◽  
Vol 73 (6) ◽  
pp. 252-257
Author(s):  
Toru Kuramoto ◽  
Yasuhiro Oura ◽  
Shigenori Suzuki
Keyword(s):  
Pregnant Woman ◽  
Acute Appendicitis ◽  
Single Port

A case of pediatric cecal diverticulitis mimicking acute appendicitis

2015 ◽  
Vol 31 (1) ◽  
pp. 147-148 ◽  
Author(s):  
Justin T. Huntington ◽  
William Brigode ◽  
Rajan K. Thakkar ◽  
Mehul V. Raval ◽  
Steven Teich
Keyword(s):  
Acute Appendicitis ◽  
Cecal Diverticulitis

Conservative Management of Acute Appendicitis in Children With Hematologic Malignancies During Chemotherapy-induced Neutropenia

2008 ◽  
Vol 30 (6) ◽  
pp. 464-467 ◽  
Author(s):  
Verena A. Wiegering ◽  
Christian J. Kellenberger ◽  
Nicole Bodmer ◽  
Eva Bergstraesser ◽  
Felix Niggli ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Conservative Management ◽  
Hematologic Malignancies ◽  
Chemotherapy Induced Neutropenia

scholarly journals Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

2021 ◽  
Vol 26 (4) ◽  
pp. 294
Author(s):  
Nuno Goncalves ◽  
Jose Pedro Pinto ◽  
Ricardo Pereira ◽  
Joaquim Costa Pereira
Keyword(s):  
Acute Appendicitis ◽  
Cecal Diverticulitis

scholarly journals 1565 In Covid-19 Pandemic, Following the Updated Royal College of Surgeons of England Guidelines in Management of Acute Appendicitis; A General District Hospital Audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Dorra ◽  
M Abdellatif ◽  
W Fahmy ◽  
Y Salama
Keyword(s):  
Conservative Treatment ◽  
Acute Appendicitis ◽  
Royal College ◽  
Conservative Management ◽  
District Hospital ◽  
Admission Rate ◽  
Operative Management ◽  
Operative Intervention ◽  
Coding System ◽  
Conservative Group

Abstract Aim The Aim of the study is assessment of the compliance with the updated Royal College of Surgeons of England (RCS) guidelines in management of acute appendicitis in a general district hospital during COVID-19 pandemic. Conservative treatment of acute appendicitis is encouraged unless unresponsiveness to treatment or complications ensues. Method Collection of retrospective data using hospital coding system was done from 63 patients medical records who were diagnosed with acute appendicitis from April 2020 to June 2020. Results The collected data analysis showed adherence to conservative treatment in 16 out of 63 (16/63) patients (25.4%). It succeeded in 10/16 patients (63 %). 6/16 patients were switched to operative intervention (37 %). There were no complications in patients who needed operative intervention after failure of conservative management. Operative management was primarily chosen in 47/63 patients (74.6 %). Re-admissions were 3/16 patients (18.75 %) in conservative group in comparison to 1/47 patient (2.12 %) in primarily operative group. Conclusions The work showed a promising rate of success of conservative treatment. However, there is a low level of compliance with RCS guidelines in management of acute appendicitis during COVID-19 pandemic. The study showed increased re-admission rate for conservative management versus primarily operative management pathways. No complications were detected in cases who needed operative intervention after failure of conservative management. Re-auditing is to follow. The study recommends national comparison of data as it might be worthwhile considering primary management of acute appendicitis.

scholarly journals Appendicular and Caecal Fecalith causing Perforation: A Case Report

2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Rojan Adhikari ◽  
Prashant Simkhada ◽  
Deependra Mandal ◽  
Ashok Kunwar ◽  
Saroj Prasad Dhital
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Histological Examination ◽  
Surgical Management ◽  
Conservative Management ◽  
Intestinal Tract ◽  
Inflammatory Lesion ◽  
Caecal Perforation

Fecalith is a concretion of dry compact feces or hard stony mass of faeces in the intestinal tract. Thoughappendicular fecoliths are commonly encountered, caecal fecoliths are rare entities. Fecoliths areamenable to conservative management with laxatives and enemas but surgical management preventsrecurrence. We present a case of 27 years old male who was diagnosed with acute appendicitis withperitonitis. He was intraoperatively diagnosed as gangrenous and perforated retrocaecal appendixwith multiple small fecaliths and a large fecalith on cecum with perforation. Appendectomy andprimary repair of caecal perforation done. Histological examination of perforated margin confirmedas an inflammatory lesion.

scholarly journals Conservative management of early uncomplicated appendicitis in children

2017 ◽  
Vol 4 (3) ◽  
pp. 1024 ◽  
Author(s):  
Sunil Kumar Maini ◽  
Neeraj Kumar Jain ◽  
Manjari Goel Jain ◽  
Vicky Khobragade
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Conservative Management ◽  
Medical Management ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Primary Treatment ◽  
Research Centre ◽  
Uncomplicated Appendicitis

Background: Right lower abdominal pain management in children is a challenging task for the surgeon. Most of the time right lower abdominal pain ends up in acute appendicitis. For long time appendicetomy was the treatment of choice. However surgical intervention has its own disadvantages such as pain, scarring, adhesions, hernia development and venous thrombosis disease. Anxiety and fear of surgery were also two difficulties in obtaining consent for surgery. Parents often request and insist for medical management. Their unwillingness for surgical intervention was the most important reason for medical management of uncomplicated acute appendicitis.Methods: Our prospective observational study was conducted in the Department of General Surgery, R.K.D.F. Medical College and Research Centre, Bhopal, Madhya Pradesh, India during period of January 2014 to January 2016 and follow up was done till December 2016. Our target group was children under 16 years. A total of 92 children with complaint of right lower abdominal pain attended the hospital for treatment. Routine investigations including ultrasonography of abdomen were performed for all the patients. Out of 92 patients diagnosis of acute appendicitis was made in 74 patients, Surgery was performed in 32 patients, while remaining 42 patients were treated conservatively and the results were analyzed.Results: In this study of 92 patients of pain in right iliac fossa below 16 years, 74 (80.43%) were diagnosed as acute appendicitis. 32 (43.24%) Patients were operated earlier. 42 (56.75%) Patient were treated conservatively. Out of 42 patients, 12 (16.21%) patients were operated within 1 year, 30 (40.54%) Patients didn’t require any surgical intervention during 1 year follow up. In present study, significant role of antibiotic was found in conservative management of acute appendicitis in children. So it can be concluded that conservative management of acute appendicitis in children can be attempted under observation.Conclusions: Antibiotics are both effective and safe as primary treatment for patients with uncomplicated acute appendicitis. Initial antibiotic treatment merits consideration as a primary treatment option for early uncomplicated appendicitis. Appendicectomy should be done but conservative management of acute appendicitis in children can be attempted under observation.

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