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Littérature scientifique sur le sujet « Appendicite acuta »

Auteur : Grafiati
Publié le 11 mars 2023

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Articles de revues sur le sujet "Appendicite acuta"

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Chesca, Antonella, Tim Sandle, Galiya Abdulina et P. Anamaria. « Acute phlegmonous appendicitis ». Bulletin of the Karaganda University. “Biology, medicine, geography Series” 105, no 1 (30 mars 2022) : 136–42. http://dx.doi.org/10.31489/2022bmg1/136-142.

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Acute phlegmonous appendicitis is an outstanding topic in medicine. The issue can be approached in terms of diagnosis and the importance of practical surgery. The clinical diagnosis can be supported by macroscopic and microscopic anatomo-pathological diagnoses. The microscopic diagnosis can be established after studying morphological characteristics observed by analogy with microscopic preparations stained by traditional and special methods. Pathological microscopic preparations can be analyzed and compared with histological preparations that display normal appendix. This paper presents some best practice examples. To provide a precise explanation to medical staff, a series of images of microscopic slides were taken from patients for microscopic analysis. The creation of permanent microscopic slides was based on knowledge of the steps required for classical histological methods using standard H&E staining techniques. Samples were taken from patients of both sexes, children under 16 years old, from urban and rural areas. It is important to clarify misunderstood epidemiological features of appendicitis. Perforating and non-perforating appendicitis, apparently, are separate in nature, and since the need for spontaneous resolution of appendicitis is essential. It is important to have better quality reference materials to enable the medical staff to make the correct decision; this paper seeks to add to this area of knowledge. Ensuring that the diagnosis is correct can have important implications for the management of appendicitis suspicion. This must be supplemented with histological assessments together with important personal, heredocolateral antecedents in the patient’s pathological history. For example, determinations of the lymphocytopenia and neutrophil-lymphocyte ratio can predict bacteremia better than conventional infection markers in the emergency department. Histopathological analysis remains important for such determinations.
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Upadhyaya, P., AK Sinha, M. Agarwal, P. Paudyal et A. Shrestha. « Incidental Enterobius Vermicularis infestation in surgically removed appendices with a clinical diagnosis of acute appendicitis : A retrospective analysis ». Journal of Pathology of Nepal 5, no 9 (27 mars 2015) : 720–22. http://dx.doi.org/10.3126/jpn.v5i9.13778.

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Background: Appendiceal parasites can cause symptoms of appendicitis. Although the symptomatology imitates acute appendicitis clinically, the true nature of disease is diagnosed through histological examination. The aim of this study is to therefore determine the prevalence of E. Vermicularis in appendicectomy specimens to relate this to acute inflammation histologically.Materials & Methods: Histological data on all appendectomy specimens with a clinical diagnosis of acute appendicitis were retrieved from the archives of department of pathology, B.P.K.I.H.S, over the period of five years (January 2004- December 2008) and was analyzed retrospectively.Results: There were a total of 1528 patients. M:F ratio being 1.2:1.Inflamed appendix constituted for 94.24% of all cases. There were a total of six (0.39%) appendicectomy specimens which showed presence of oxyuriasis appendix. Though all patients with oxyuriasis presented with appendicial colic only one (1) out of the six cases of oxyuriasis showed histologic evidence of inflammation. Conclusion: We conclude that enterobius does not frequently cause inflammation of appendix though it may clinically mimic acute appendicitis. Since it represents a disease curable without necessitating surgery, symptomatology awareness is stressed upon.Journal of Pathology of Nepal (2015) Vol. 5, 720-722
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Vanhatalo, Sanja, Eveliina Munukka, Suvi Sippola, Sirpa Jalkanen, Juha Grönroos, Harri Marttila, Erkki Eerola, Saija Hurme, Antti J. Hakanen et Paulina Salminen. « Prospective multicentre cohort trial on acute appendicitis and microbiota, aetiology and effects of antimicrobial treatment : study protocol for the MAPPAC (Microbiology APPendicitis ACuta) trial ». BMJ Open 9, no 9 (septembre 2019) : e031137. http://dx.doi.org/10.1136/bmjopen-2019-031137.

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IntroductionBased on the epidemiological and clinical data, acute appendicitis can present either as uncomplicated or complicated. The aetiology of these different appendicitis forms remains unknown. Antibiotic therapy has been shown to be safe, efficient and cost-effective for CT-confirmed uncomplicated acute appendicitis. Despite appendicitis being one of the most common surgical emergencies, there are very few reports on appendicitis aetiology and pathophysiology focusing on the differences between uncomplicated and complicated appendicitis. Microbiology APPendicitis ACuta (MAPPAC) trial aims to evaluate these microbiological and immunological aspects including immune response in the aetiology of these different forms also assessing both antibiotics non-responders and appendicitis recurrence. In addition, MAPPAC aims to determine antibiotic and placebo effects on gut microbiota composition and antimicrobial resistance.Methods and analysisMAPPAC is a prospective clinical trial with both single-centre and multicentre arm conducted in close synergy with concurrent trials APPendicitis ACuta II (APPAC II) (per oral (p.o.) vs intravenous+p.o. antibiotics,NCT03236961) and APPAC III (double-blind trial placebo vs antibiotics,NCT03234296) randomised clinical trials. Based on the enrolment for these trials, patients with CT-confirmed uncomplicated acute appendicitis are recruited also to the MAPPAC study. In addition to these conservatively treated randomised patients with uncomplicated acute appendicitis, MAPPAC will recruit patients with uncomplicated and complicated appendicitis undergoing appendectomy. Rectal and appendiceal swabs, appendicolith, faecal and serum samples, appendiceal biopsies and clinical data are collected during the hospital stay for microbiological and immunological analyses in both study arms with the longitudinal study arm collecting faecal samples also during follow-up up to 12 months after appendicitis treatment.Ethics and disseminationThis study has been approved by the Ethics Committee of the Hospital District of Southwest Finland (Turku University Hospital, approval number ATMK:142/1800/2016) and the Finnish Medicines Agency. Results of the trial will be published in peer-reviewed journals.Trial registration numberNCT03257423
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Onafowokan, Oluwatobi O., Aboubakr Khairat et Hugo J. R. Bonatti. « Appendiceal Diverticulitis in a Young Female Diagnosed on Pathology after Laparoscopic Appendectomy for Acute Appendicitis ». Case Reports in Medicine 2021 (8 mars 2021) : 1–3. http://dx.doi.org/10.1155/2021/2508956.

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Background. Appendiceal diverticulitis is a rare cause of inflammation of the appendix, which may mimic acute appendicitis. Its diagnosis is often delayed, and its occurrence carries an increased risk of significant complications, such as perforation. Case Presentation. A 23-year-old woman presented with sudden onset, severe, right lower quadrant abdominal pain and nausea. Her WBC was elevated, and abdominal CT showed findings indicative of acute appendicitis with a 13 mm fluid-filled appendix and local stranding. During laparoscopic appendectomy, significant inflammation was found around the appendix with some mucous material around the tip. The appendix base was not involved, and an endoloop was used to secure the stump. No other intra-abdominal abnormalities were observed. The patient recovered uneventfully. Pathology showed no classic appendicitis but appendiceal diverticulitis with signs of perforation. Discussion. Appendiceal diverticulitis is a rare condition which cannot be distinguished from acute appendicits clinically and on imaging. Diagnosis may be established based on pathology such as in our case. Appendectomy is indicated in appendiceal diverticulitis, and an appendix diverticulum is incidentally found during surgery or other investigations. This is due to the increased risk of perforation and the reported development of malignant tumors, including the appendix carcinoid.
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Mendoza-Rojas, Hubert James, et José Julio Valle Bayona. « Variación estacional de la apendicitis aguda ». Horizonte Médico (Lima) 16, no 2 (31 mars 2016) : 19–26. http://dx.doi.org/10.24265/horizmed.2016.v16n2.04.

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Kidwai, Roman, et Anup Sharma. « Acute Perforated Appendicitis : Clinical Profile and Analysis of Risk Factors ». Journal of Nepalgunj Medical College 16, no 2 (31 décembre 2018) : 13–15. http://dx.doi.org/10.3126/jngmc.v16i2.24865.

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Introduction: The incidence of complicated acute appendicitis, including perforated or gangrenous appendicitis, remains considerably high (28-29%) despite the availability of modern imaging. Acute perforated appendicitis is associated with increased postoperative morbidity and mortality. The aim of the study was to analyze the clinico-pathological profile and outcomes for suspected perforated acute appendicitis and to determine the factors influencing the risk of perforated appendicitis. Materials and Methods: This was a prospective observational study conducted at Nepalgunj Medical College and Teaching Hospital from November 2016 to August 2018. Patients with suspected appendicle perforation were included. The diagnosis was confirmed atlaparotomy. History, physical findings, biochemical and radiological findings were noted. Results: There were 74 patients. The maximum number of patients were in the age group of 0-20 and 21-40 years with a male dominance (M:F 1.9:1). The common presenting features were pain starting in right iliac fossa and becoming generalized with features of peritonitis. Majority presented late to the hospital with the mean duration of 6.35±2.46 days. 17 (22.97%) patients had deranged renal function test at presentation. All patients underwent laparotomy and appendicectomy. The commonest site of perforation was the tip of appendix (58.08%). 27(52.94%) had generalized purulent peritonitis. All had features of acute appendicitis on histological examination. Of the 75 patients only 17 (22.97%) patients had fecolith. 21 (28.37%) had postoperative complications, commonest being surgical site infection (25.67%). Five (6.67%) patients died after surgery. The common cause of death was septic shock with multiorgan failure. Only one patient died due to myocardial infarction. The complications and mortality were common in those patients whose presentation was late i. e after 72 hours from the onset of symptoms, whose renal function was deranged, age > 60, and who had pyoperitoneum. CONCLUSION: Acute perforated appendix is not uncommon. Males are more common with younger people commonly getting affected. Delayed presentation, pyoperitoneum, age >60 are the common risk factors associated with morbidity and mortality.
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Sippola, Suvi, Juha Grönroos, Ville Sallinen, Tero Rautio, Pia Nordström, Tuomo Rantanen, Saija Hurme et al. « A randomised placebo-controlled double-blind multicentre trial comparing antibiotic therapy with placebo in the treatment of uncomplicated acute appendicitis : APPAC III trial study protocol ». BMJ Open 8, no 11 (novembre 2018) : e023623. http://dx.doi.org/10.1136/bmjopen-2018-023623.

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IntroductionRecent studies show that antibiotic therapy is safe and feasible for CT-confirmed uncomplicated acute appendicitis. Spontaneous resolution of acute appendicitis has already been observed over a hundred years ago. In CT-confirmed uncomplicated acute diverticulitis (left-sided appendicitis), studies have shown no benefit from antibiotics compared with symptomatic treatment, but this shift from antibiotics to symptomatic treatment has not yet been widely implemented in clinical practice. Recently, symptomatic treatment of uncomplicated acute appendicitis has been demonstrated in a Korean open-label study. However, a double-blinded placebo-controlled study to illustrate the role of antibiotics and spontaneous resolution of uncomplicated acute appendicitis is still lacking.Methods and analysisThe APPAC III (APPendicitis ACuta III) trial is a multicentre, double-blind, placebo-controlled, superiority randomised study comparing antibiotic therapy with placebo in the treatment CT scan-confirmed uncomplicated acute appendicitis aiming to evaluate the role of antibiotics in the resolution of uncomplicated acute appendicitis. Adult patients (18–60 years) with CT scan-confirmed uncomplicated acute appendicitis (the absence of appendicolith, abscess, perforation and tumour) will be enrolled in five Finnish university hospitals.Primary endpoint is success of the randomised treatment, defined as resolution of acute appendicitis resulting in discharge from the hospital without surgical intervention within 10 days after initiating randomised treatment (treatment efficacy). Secondary endpoints include postintervention complications, recurrent symptoms after treatment up to 1 year, late recurrence of acute appendicitis after 1 year, duration of hospital stay, sick leave, treatment costs and quality of life. A decrease of 15 percentage points in success rate is considered clinically important difference. The superiority of antibiotic treatment compared with placebo will be analysed using Fisher’s one-sided test and CI will be calculated for proportion difference.Ethics and disseminationThis protocol has been approved by the Ethics Committee of Turku University Hospital and the Finnish Medicines Agency (FIMEA). The findings will be disseminated in peer-reviewed academic journals.Trial registration numberNCT03234296; Pre-results.
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Ulukent, Suat Can, Nuri Alper Şahbaz, Eser Şefik Özyürek, İnanç Şamil Sarıcı, Özlem Akça, Mehmet Yiğit Özgün, Özgür Akbayır et Mustafa Uygar Kalaycı. « Evaluation of laboratory parameters in the diagnosis of acute appendicitis ». Turkish Journal of Biochemistry 43, no 1 (15 décembre 2016) : 64–70. http://dx.doi.org/10.1515/tjb-2016-0224.

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AbstractIntroduction:The aim of this prospective study was to investigate the diagnostic value of the fibrinogen level, platelet (PLT) count, mean platelet volume (MPV), lymphocyte count, neutrophil/lymphocyte ratio (NLR) and C-reactive protein (CRP) level with white blood cell (WBC) and neutrophil count in acute appendicitis (AA).Methods:One hundred and ninety-seven patients who were admitted with the findings of acute abdomen and operated on with a preoperative diagnosis of AA were included in this prospective observational study. After surgery, according to the histopathological results of the appendix, patients were classified as Group 1; with normal histology of appendix vermicularis, Group 2; patients with positive histology for appendicitis with or without perforation, periappendiceal abscess, suppurative, gangrenous or ulcerophlegmonous appendicitis.Results:In the comparison of the two groups, the difference between CRP and MPV were insignificant (p=0.12 and p=0.09, respectively). WBC, neutrophil count, NLR were significantly higher in Group 2 (p<0.001 for each), whereas fibrinogen levels, lymphocyte count and the PLT counts were significantly higher in Group 1 (p=0.03, 0.002 and 0.003, respectively).Discussion and conclusion:WBC, neutrophil and NLR are predictive for the diagnosis of AA, whereas elevated levels of fibrinogen, high lymphocyte and PLT count are predictive for non-appendicial pathology with low diagnostic accuracies.
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RAMAHI, DR HAIDER ALI MUSLIM AL, et MUHAMMAD A. ALBAHADILI. « New Sign for Diagnosis of Acute Appendicitis ». Journal of Research on the Lepidoptera 50, no 4 (29 novembre 2019) : 171–76. http://dx.doi.org/10.36872/lepi/v50i4/201080.

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Rodrigues, André Luiz Santos, Marcelino Ferreira Lobato, Augusto César Santana, Lucas Crociati Meguins et Daniel Felgueiras Rolo. « Pneumoperitoneum due to perforated appendicitis : a rare anatomo-radiologic correlation ». ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 21, no 3 (septembre 2008) : 142–43. http://dx.doi.org/10.1590/s0102-67202008000300011.

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BACKGROUND: Pneumoperitoneum is usually associated with a perforated peptic ulcer. However, perforated appendicits may be evolved on it. In the medical literature, the anatomo-radiologic correlation between them is an uncommon event. CASE REPORT: Man with 56-year-old look for assistance with diffuse abdominal pain and distension associated with fever, vomit and absence of flatus and evacuation for about 14 days. The chest radiography revealed a pneumoperitoneum. Diffuse peritonitis was found during the exploratory laparotomy. Appendectomy, peritoneal cavity cleaning and drainage with tubular drains were carried out. However, severe sepsis occurred and the patient died on the 16th post-operative day with multiple systemic organ failure. CONCLUSION: Although rare as pneumoperitoneum ethiology, acute appendicitis may be thought as it's cause.
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Thèses sur le sujet "Appendicite acuta"

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Grunder, Adrian. « Appendicitis acuta im Kindesalter / ». [S.l : s.n.], 1987. http://www.ub.unibe.ch/content/bibliotheken_sammlungen/sondersammlungen/dissen_bestellformular/index_ger.html.

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Ferguson, Mark R., Jason N. Wright, Anh-Vu Ngo, Sarah M. Desoky et Ramesh S. Iyer. « Imaging of Acute Appendicitis in Children ». GEORG THIEME VERLAG KG, 2017. http://hdl.handle.net/10150/625179.

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Acute appendicitis is a common cause of abdominal surgery in children, and is the result of appendiceal luminal obstruction and subsequent inflammation. The clinical presentation is often variable, allowing imaging to play a central role in disease identification and characterization. Ultrasound is often the modality of choice for diagnosis of appendicitis in children. Ready availability and lack of ionizing radiation are attractive features of sonography, though operator dependence is a potential barrier. Computed tomography (CT) was historically the preferred modality in children, as in adults, but recent awareness of the risks of radiation has reduced its usage. The purpose of this article is to detail the imaging findings of appendicitis in children. The discussion will focus on typical signs of appendicitis seen on ultrasound, CT, and magnetic resonance imaging. Considerations for percutaneous drainage by interventional radiology will also be presented. Finally, the evolution of imaging algorithms for appendicitis will be discussed.
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Andersson, Manne. « Structured management of patients with suspected acute appendicitis ». Doctoral thesis, Linköpings universitet, Institutionen för klinisk och experimentell medicin, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-113766.

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Background. Acute appendicitis (“appendicitis”) is one of the most common abdominal surgical emergencies worldwide. In spite of this, the diagnostic pathways are highly variable across countries, between centres and physicians. This has implications for the use of resources, exposure of patients to ionising radiation and patient outcome. The aim of this thesis is to construct and validate a diagnostic appendicitis score, to evaluate new inflammatory markers for inclusion in the score, and explore the effect of implementing a structured management algorithm for patients with suspected appendicitis. Also, we compare the outcome of management with routine diagnostic imaging versus observation and selective imaging in equivocal cases. Methods. In study I, the Appendicitis Inflammatory Response (AIR) score was constructed from eight variables with independent diagnostic value (right lower quadrant pain, rebound tenderness or muscular defence, WBC count, proportion of polymorphonuclear granulocytes, CRP, body temperature and vomiting). Its diagnostic properties were evaluated and compared with the Alvarado score. In study II, we performed an external validation and evaluation of novel inflammatory markers for inclusion in the score on patients with suspected appendicitis at two Swedish hospitals. In study III we externally validated and evaluated the impact of an AIR-scorebased algorithm assigning patients to a low or high risk of having appendicitis in an interventional multicentre study involving 25 Swedish hospitals and 3791 patients. In study IV, we compared the efficiency of routine diagnostic imaging with repeated clinical assessment followed by selective imaging in a randomised trial of 1028 patients with equivocal signs of appendicitis, as indicated by an intermediate AIR score, from study III. Main results. In study I we found that the AIR score could assign 63% of the patients to either a high- or low-risk group of appendicitis with an accuracy of 97%, which compared favourably with the Alvarado score. In study II, the diagnostic properties of the AIR score proved to be  reproducible, but the inclusion of novel inflammatory markers did not improve the diagnostic accuracy. In study III, the AIR-score-based algorithm led to a reduction in negative explorations, operations for nonperforated appendicitis and hospital admissions in the low-risk group and reduced use of imaging in both low- and high-risk groups. In study IV, routine imaging led to more operations for nonperforated appendicitis but had no effect on negative explorations or perforated appendicitis. Conclusions. The AIR score was found to have promising diagnostic properties that were not improved further with the inclusion of novel inflammatory variables. Structured management of patients with suspected appendicitis according to an AIR-score-based algorithm may improve outcome while reducing hospital admissions and use of imaging. Patients with equivocal signs of appendicitis do not benefit from routine imaging which may lead to an increased detection of, and treatment for, uncomplicated cases of appendicitis that are otherwise allowed to resolve spontaneously.
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Овечкін, Денис Вячеславович, Денис Вячеславович Овечкин, Denys Viacheslavovych Ovechkin, Ігор Едуардович Зайцев, Игорь Эдуардович Зайцев, Ihor Eduardovych Zaitsev et B. N. Agyiri. « Analysis of blood inflammatory markers for detection of acute appendicitis in children ». Thesis, Видавництво СумДУ, 2011. http://essuir.sumdu.edu.ua/handle/123456789/15962.

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Guzmán, Edson, et Nadia García. « Clinical scores for prediction of acute appendicitis in children in a hospital of Lima, Perú ». Annals of Pediatric Surgery, 2014. http://hdl.handle.net/10757/612234.

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Objective: To determine the usefulness of the Alvarado score and the Pediatric Appendicitis score (PAS) in the Pediatric Emergency of the National Hospital Daniel A. Carrion. Materials and methods: A prospective observational study was carried out of patients younger than 15 years of age with abdominal pain and suspected acute appendicitis (AA) attending the Pediatric Emergency in a Hospital of Lima, Peru. These patients underwent a survey to assess the parameters of the Alvarado score and PAS. Results: Three hundred and seventeen patients with abdominal pain and suspected of AA were recruited over a study period of 12 months. Of the patients, 232 were considered to have AA clinically and underwent surgery. 85.3% were confirmed by pathology and 14.7% were normal. The mean Alvarado score was 8.27±1.31; the mean Surgical Procedure Assessment (SPA) score was 8.08±1.47. Sensitivity and specificity for both scores are equivalent. The area under the curve for the Alvarado score and SPA were 0.887 and 0.901, respectively. Alvarado score higher than 6 had a sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 88.9, 75.6, 97.4, 68.1, and 86.4%, respectively. SPA higher than 6 points had sensitivity, specificity, PPV, NPV, and accuracy of 84.3, 80.7, 94.7, 73.1, and 86.7%, respectively. Conclusion: Alvarado score and the PAS are scores with high sensitivity, specificity, PPV, and accuracy for the diagnosis of AA when the score is higher than 6 points. The results found in our study justify their use in emergency services, but they should not be used as the only means of clinically determining the need for surgery.
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Овечкін, Денис Вячеславович, Денис Вячеславович Овечкин, Denys Viacheslavovych Ovechkin, O. M. Bulchenko et A. A. Dennis. « Clinical-diagnostic and therapeutic features of acute appendicitis in children ». Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/36586.

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Acute appendicitis is the most frequent disease in childhood. It requires an emergency surgical intervention and has a number of features in comparison with adults. It is more severe, and diagnostics is more complex. This is due primarily to the large number of diseases occurring with pseudo abdominal syndrome, difficulties of inspection and revealing of local symptoms particularly in young children. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/36586
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Богачов, Д. В., et І. В. Марус. « Перспективи ендовідеохірургічного методу лікування гострого апендициту ». Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27351.

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Наук. кер.: В.В. Леонов
Результати лікування хворих з гострим апендицитом залежать від багатьох причин: своєчасної та точної діагностики, правильно визначених показів до оперативного втручання, термінів їх виконання, адекватності вибору доступу в черевну порожнину та лікувальних заходів. При цитуванні документа, використовуйте посилання http://essuir.sumdu.edu.ua/handle/123456789/27351
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Безродний, Б. Г., А. В. Іовіца, Л. Д. Мартинович, А. І. Мойсеєнко, Б. Т. Карташов et В. М. Ольховецький. « Значення синдрому подразненого кишечника у патогенезі гострого апендициту та його ускладнень ». Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27341.

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Laurell, Helena. « Acute Abdominal Pain ». Doctoral thesis, Uppsala University, Department of Surgical Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7161.

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The aim was to identify diagnostic difficulties for acute abdominal pain at the emergency department and during hospital stay. A total of 3349 patients admitted to Mora Hospital with acute abdominal pain of up to seven days duration, were registered prospectively for history and clinical signs according to a structured schedule. The preliminary diagnosis from the attending physician at the emergency department, any investigations or surgery and final diagnosis were registered at a follow-up after at least one year.

There were no differences in diagnostic performance between physicians with 0.5 to 5 years of medical experience. The information collected and a careful examination of the patient was more important than formal competence. The main differential diagnostic problem was non-specific abdominal pain; this was the same for diagnoses requiring surgery. Patients originally diagnosed as not needing surgery had a median delay before operation of 22 hours (mean 40 hours, with 95% confidence interval of 30-50 hours), compared to 8 hours (mean 15 hours, 95% confidence interval of 12-28 hours) for patients with the same final follow-up diagnosis as the preliminary diagnosis. Constipation was a diagnostic pitfall, as 9% of the patients considered constipated required surgery for potentially life threatening reasons and 8% were later found to have an abdominal malignancy. Both the preliminary diagnosis and the discharge diagnosis were less reliable for elderly patients than for younger patients. Elderly patients often had specific organ disease and arrived at the emergency department after a longer history of abdominal pain.

This study confirms that assessment of suspected appendicitis can still be based on clinical judgements combined with laboratory tests. Classical clinical findings indicating localised inflammation, such as isolated pain in the right iliac fossa, rebound tenderness, right-sided rectal tenderness, pain migration to the right iliac fossa, local guarding and aggravation of pain when moving, were reliable for predicting acute appendicitis. A CT scan can be saved for the more equivocal cases of acute abdominal pain. A generous strategy regarding CT scan among elderly patients with acute abdominal pain, even in the absence of pronounced signs of an inflammatory intra-abdominal process, is recommended.

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Bilyk, I. I. « Certain aspects in treatment of peritonitis as a complication of acute appendicitis ». Thesis, БДМУ, 2020. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/18161.

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Livres sur le sujet "Appendicite acuta"

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Augustin, Goran. Acute appendicitis in pregnancy. Hauppauge, N.Y : Nova Science Publishers, 2010.

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L, Krähenbühl, dir. Acute appendicitis : Standard treatment or laparoscopic surgery ? Basel : Karger, 1998.

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KEYZER, Caroline, et Pierre Alain Gevenois, dir. Imaging of Acute Appendicitis in Adults and Children. Berlin, Heidelberg : Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-17872-6.

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Medical Research Council. Environmental Epidemiology Unit., dir. The aetiology of acute appendicitis : Proceedings of a meeting held on 22nd May 1986 at the MRC Environmental Epidemiology Unit. Southampton : Southampton General Hospital, 1986.

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Catanzaro, Michael P., et Rachel J. Kwon. Acute Appendicitis. Sous la direction de Rachel J. Kwon. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199384075.003.0049.

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This chapter provides a summary of a landmark historical study in surgery involving management and treatment of acute appendicitis. It describes the history of the disease, gives a summary of the study including study design and results, and relates the study to a modern-day principle of evidence-based medicine: observational studies in study design. Reginald H. Fitz’s insights over a century ago in a seminal case series regarding the nature of appendicitis, its potential sequelae, and the value of urgent surgical intervention changed the disease from a deadly one into one that can be easily cured by surgery. However, with the advent of modern broad spectrum antibiotic therapy, Fitz’s assertion that immediate surgical therapy is always mandated has recently come under question.
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Beattie, Mark, et Mike Stanton. Acute abdominal pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198759928.003.0041.

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Beattie, R. Mark, Anil Dhawan et John W.L. Puntis. Acute abdominal pain. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569862.003.0036.

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Introduction 252Appendicitis 253Intussusception 253Miscellaneous conditions 254The commonest surgical diagnosis in children who present to hospital with acute abdominal pain is appendicitis. The differential diagnosis is wide, however (see box below), and in >50% of admissions no specific cause is found....
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Kr�henb�hl, L., E. Frei, C. Klaiber et M. W. B�chler, dir. Acute Appendicitis : Standard Treatment or Laparoscopic Surgery ? S. Karger AG, 1998. http://dx.doi.org/10.1159/isbn.978-3-318-00270-6.

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Lee, Christoph I. Multidetector CT for Acute Appendicitis in Adults. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190223700.003.0027.

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This chapter, found in the abdominal and pelvic pain section of the book, provides a succinct synopsis of a key study examining the use of multidetector computed tomography for diagnosing acute appendicitis in adults. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. This technique was shown to reduce rates of perforation and negative findings at appendectomy when incorporated into routine diagnostic algorithms, and can redirect management for patients with alternative diagnoses. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.
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Guttadauro, Angelo. Doubts, Problems and Certainties about Acute Appendicitis. Intechopen, 2022.

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Chapitres de livres sur le sujet "Appendicite acuta"

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Riccipetitoni, G., G. Monguzzi, C. Vella et M. Garriboli. « Appendicite acuta e peritonite ». Dans Videochirurgia pediatrica, 161–69. Milano : Springer Milan, 2010. http://dx.doi.org/10.1007/978-88-470-1797-9_18.

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Sylla, Patricia, et Richard Hodin. « Acute Appendicitis ». Dans Practical Gastroenterology and Hepatology : Small and Large Intestine and Pancreas, 382–90. Oxford, UK : Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444328417.ch53.

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Bankhead-Kendall, Brittany, et Pedro G. R. Teixeira. « Acute Appendicitis ». Dans Emergency General Surgery, 257–66. Cham : Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96286-3_21.

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McAllister, Ian. « Acute appendicitis ». Dans Gastrointestinal emergencies, 225–29. Chichester, UK : John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118662915.ch31.

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Peens-Hough, H., et A. Bagadia. « Appendicitis (Acute) ». Dans ABC of Pediatric Surgical Imaging, 10–11. Berlin, Heidelberg : Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-540-89385-1_5.

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Augustin, Goran. « Acute Appendicitis ». Dans Acute Abdomen During Pregnancy, 3–43. Cham : Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-05422-3_1.

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Simpson, John, et David J. Humes. « Acute Appendicitis ». Dans Textbook of Clinical Gastroenterology and Hepatology, 505–10. Oxford, UK : Wiley-Blackwell, 2012. http://dx.doi.org/10.1002/9781118321386.ch67.

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Feldberg, M. A. M., M. J. Hendriks et P. F. G. M. van Waes. « Acute Appendicitis ». Dans Computed Tomography of the Gastrointestinal Tract, 221–34. New York, NY : Springer New York, 1986. http://dx.doi.org/10.1007/978-1-4612-4882-8_8.

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Thakur, Rakesh Kumar, et Ashish P. Desai. « Acute Appendicitis ». Dans Textbook of Pediatric Gastroenterology, Hepatology and Nutrition, 571–79. Cham : Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-17169-2_50.

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Schein, Moshe. « Acute Appendicitis ». Dans Schein’s Common Sense Emergency Abdominal Surgery, 193–202. Berlin, Heidelberg : Springer Berlin Heidelberg, 2000. http://dx.doi.org/10.1007/978-3-642-88133-6_22.

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Actes de conférences sur le sujet "Appendicite acuta"

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Korobko, Y. Ye. « Destructive forms of acute appendicitis in children ». Dans NEW TRENDS AND UNRESOLVED ISSUES OF PREVENTIVE AND CLINICAL MEDICINE. Baltija Publishing, 2020. http://dx.doi.org/10.30525/978-9934-588-81-5-1.31.

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Arisgraha, Franky Chandra Satria, Rahayu Novitasari et Soegianto Soelistiono. « Implementation of artificial neural network for identification of acute appendicitis ». Dans THE 2ND INTERNATIONAL CONFERENCE ON PHYSICAL INSTRUMENTATION AND ADVANCED MATERIALS 2019. AIP Publishing, 2020. http://dx.doi.org/10.1063/5.0034907.

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Shaposhnikov, V. I. « Some aspects of the diagnosis and treatment of acute appendicitis ». Dans ТЕНДЕНЦИИ РАЗВИТИЯ НАУКИ И ОБРАЗОВАНИЯ. НИЦ «Л-Журнал», 2019. http://dx.doi.org/10.18411/lj-02-2019-106.

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« Analysis and Treatment of Infection Factors of Incision in Acute Appendicitis ». Dans 2018 International Conference on Medicine, Biology, Materials and Manufacturing. Francis Academic Press, 2018. http://dx.doi.org/10.25236/icmbmm.2018.15.

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Vidal, A., S. Ardabili et M. Hodel. « Conservative treatment of acute appendicitis in twin-pregnancy : a case report ». Dans Kongressabstracts zur Tagung 2020 der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). © 2020. Thieme. All rights reserved., 2020. http://dx.doi.org/10.1055/s-0040-1718331.

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Sampaio, Romão Augusto Alves Filgueira, Mailze Campos Bezerra et Raquel Telles de Souza Quixadá. « INTESTINAL TUBERCULOSIS SIMULATING ACUTE APPENDICITIS IN A PATIENT WITH LUPUS NEPHRITIS ». Dans XXXIX Congresso Brasileiro de Reumatologia. Sociedade Brasileiro de Reumatologia, 2022. http://dx.doi.org/10.47660/cbr.2022.1873.

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« Investigate diagnostic value of laboratory finding in acute appendicitis : A systematic review ». Dans International Conference on Medicine, Public Health and Biological Sciences. CASRP Publishing Company, Ltd. Uk, 2016. http://dx.doi.org/10.18869/mphbs.2016.203.

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Filip, Roxana, D. Stanescu, Dorina Oprea et F. Filip. « A two-year retrospective study on antibiotic regimens used in children with acute perforated appendicitis ». Dans 2017 E-Health and Bioengineering Conference (EHB). IEEE, 2017. http://dx.doi.org/10.1109/ehb.2017.7995531.

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Majdawati, Ana, et I. Gusti Ayu Putri Anom Sari. « The Evaluation of the Sensitivity and Specificity of Ultrasound Examination in Patients With Suspected Acute Appendicitis ». Dans 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020). Paris, France : Atlantis Press, 2021. http://dx.doi.org/10.2991/ahsr.k.210115.033.

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Giljaca, V., T. Nadarevic, G. Poropat, V. Stefanac Nadarevic et D. Stimac. « PWE-030 Diagnostic accuracy of abdominal ultrasound for diagnosis of acute appendicitis : systematic review and meta-analysis ». Dans British Society of Gastroenterology, Annual General Meeting, 19–22 June 2017, Abstracts. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2017. http://dx.doi.org/10.1136/gutjnl-2017-314472.275.

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Rapports d'organisations sur le sujet "Appendicite acuta"

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Danse, Etienne. Imaging of Acute Appendicitis for Adult Patients. Science Repository, août 2019. http://dx.doi.org/10.31487/j.rdi.2019.03.08.

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Nair, Abhijit, et Hamed Humayid Mohammed Al Aamri. Enhanced recovery after surgery pathways for patients undergoing laparoscopic appendectomy- a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, août 2022. http://dx.doi.org/10.37766/inplasy2022.8.0005.

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Review question / Objective: Does implementing enhanced recovery after surgery pathways improve outcomes in adult patients undergoing laparoscopic appendectomy when compared to conventional pathways? Condition being studied: Adult patients (more than 18 years) with acute appendicitis undergoing laparoscopic appendicectomy. Information sources: We will search all electronic databases. In published articles were outcome details appear incomplete, the corresponding author will be contacted the details will be sought. If not available, that outcome will be excluded from analysis.
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Wang, Ling, Ching-Hsien Ling, Pei-Chun Lai et Yen-Ta Huang. Can speed bump sign be a diagnostic tool for acute appendicitis ? Evidence-based appraisal by meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, novembre 2021. http://dx.doi.org/10.37766/inplasy2021.11.0052.

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