- The diagnosis of acute appendicitis in pregnant versus non-pregnant women: A comparative study. [Journal Article]
- RARev Assoc Med Bras (1992) 2016; 62(7):622-627
- CONCLUSIONS: Although the diagnosis of appendicitis in pregnant women is not delayed, careful assessment of these patients suspected of having appendicitis should be encouraged when USG examination is normal or nondiagnostic.
- Diagnostic Value of High-Mobility Group Box 1 (HMGB1) Protein in Acute and Perforated Appendicitis. [Journal Article]
- JIJ Invest Surg 2016 Dec 06; :1-5
- CONCLUSIONS: Since the serum levels of HMGB1 in patients with acute and perforated appendicitis were higher than in patients with normal appendix, these findings could be useful to develop a new biomarker along with other laboratory tests for accurate diagnosis of patients with appendicitis.
- Imaging gently? Higher rates of computed tomography imaging for pediatric appendicitis in non-children's hospitals. [Journal Article]
- SSurgery 2016 Dec 02
- CONCLUSIONS: There are significant differences in imaging modalities for pediatric appendicitis between a children's hospital and non-children's hospitals. Further investigation is needed to identify other factors contributing to imaging preference in the pediatric population in order to establish clinical practice guidelines to decrease or prevent unnecessary radiation exposure in children.
- Acute Appendicitis in Pregnant Women: Our Clinical Experience. [Journal Article]
- CIClin Invest Med 2016 Dec 01; 39(6):27521
- CONCLUSIONS: It is considered appropriate to apply ultrasonography routinely to all pregnant patients in whom acute appendicitis is suspected. Concern for maternal or fetal complication that may occur in consequence of an unnecessary surgery should not be at a level that will delay surgical treatment needed by the patient.
- A rare case of perforated "sub-hepatic appendicitis" - a challenging differential diagnosis of acute abdomen based on the combination of appendicitis and maldescent of the caecum. [Journal Article]
- PRPathol Res Pract 2016 Nov 21
- Unusual locations of the appendix vermiformis can result in delay in appropriate diagnosis and treatment of appendicitis. So an inflamed appendix in a sub-hepatic caecum caused by caecal maldescent f...
Unusual locations of the appendix vermiformis can result in delay in appropriate diagnosis and treatment of appendicitis. So an inflamed appendix in a sub-hepatic caecum caused by caecal maldescent for example can mimic cholecystitis, the pain being localized in the right upper quadrant. Here, we present a case of perforated sub-hepatic appendicitis with peritonitis, requiring open ileocaecal resection. Review of the existing literature has demonstrated that this pathology is uncommon, yet not so rare as one might presume. In conclusion, surgeons should be aware of this possibility in the diagnostic and therapeutic management of acute abdomen.
- Total small bowel herniation through the space between the connecting tube of gastric band and abdominal wall: A case report of a surgical emergency. [Journal Article]
- IJInt J Surg Case Rep 2016 Nov 17; 30:66-68
- CONCLUSIONS: Although a simple procedure, laparoscopic gastric banding could have serious complications. Some of these complications could present years after the application of the gastric band. There are a few reports about complications caused by the connecting tube of the gastric band.Complications caused by connecting tube should always be in mind, when assessing acute abdomen in patients with laparoscopic gastric band.
- Complicated acute appendicitis presenting as a rapidly progressive soft tissue infection of the abdominal wall: a case report. [Journal Article]
- JMJ Med Case Rep 2016 Dec 01; 10(1):331
- CONCLUSIONS: Even though perforated appendicitis as an etiology of a rapidly progressive soft tissue infection of the abdominal wall is very rare, it should be considered in the differential diagnosis of abdominal wall cellulitis. The distinction between rapidly spreading subcutaneous infection with abscess formation and early onset of necrotizing fasciitis is often difficult and can be confirmed only by surgical intervention.
- Lower Pre-peritoneal Steatonecrosis Mimicking Acute Appendicitis. [Journal Article]
- JGJ Gastrointest Surg 2016 Nov 29
- Urachal Cyst Causing Small Bowel Obstruction in an Adult with a Virgin Abdomen. [Journal Article]
- CRCase Rep Surg 2016; 2016:3247087
- Introduction. A patent urachus is a rare congenital or acquired pathology, which can lead to complications later in life. We describe a case of urachal cystitis as the etiology of small bowel obstruc...
Introduction. A patent urachus is a rare congenital or acquired pathology, which can lead to complications later in life. We describe a case of urachal cystitis as the etiology of small bowel obstruction in an adult without prior intra-abdominal surgery. Case Report. A 64-year-old male presented to the acute care surgery team with a 5-day history of right lower quadrant abdominal pain, distention, nausea, and vomiting. He had a two-month history of urinary retention and his past medical history was significant for benign prostate hyperplasia. On exam, he had evidence of small bowel obstruction. Computed tomography revealed high-grade small bowel obstruction secondary to presumed ruptured appendicitis. In the operating room, an infected urachal cyst was identified with adhesions to the proximal ileum. After lysis of adhesions and resection of the cyst, the patient was subsequently discharged without further issues. Conclusion. Although rare, urachal pathology should be considered in the differential diagnosis when evaluating a patient with small bowel obstruction without prior intraabdominal surgery, hernia, or malignancy.
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- Pain management of acute appendicitis in Canadian pediatric emergency departments. [Journal Article]
- CJEMCJEM 2016 Nov 30; :1-7
- CONCLUSIONS: Suboptimal and delayed analgesia remains a significant issue for children with suspected appendicitis in Canadian PEDs. This suggests a role for multidimensional knowledge translation interventions and care protocols to improve timely access to analgesia.