- Schistosomal appendicitis in Kuwait A5-year study. [Journal Article]
- IJInt J Surg Case Rep 2016 Oct 17; 28:303-309
- CONCLUSIONS: Although schistosomiasis is a rare causative agent of acute appendicitis, this however can't be confirmed until histological evaluation. Therefore, adequate follow up postoperatively is necessary to insure eradication of the disease and to prevent further serious consequences.
- [Management of acute appendicitis : Evidence for prompt surgical treatment?] [Journal Article]
- CChirurg 2016 Oct 21
- CONCLUSIONS: This retrospective cohort study showed that appendectomy should be performed within the first 8 h after hospitalization of the patient.
- Ischemia-modified albumin as a predictor of the severity of acute appendicitis. [Journal Article]
- AJAm J Emerg Med 2016 Oct 7
- CONCLUSIONS: The IMA can be considered as a novel and useful marker to distinguish gangrenous/perforated appendicitis from noncomplicated appendicitis. The correlation of IMA with CT findings also enhances the predictive value of IMA.
- Predictive factors and outcomes of negative appendectomy. [Journal Article]
- AJAm J Surg 2016 Jul 28
- CONCLUSIONS: When CT findings are equivocal, in deciding to operate for acute appendicitis, additional ultrasonography can be performed. Furthermore, if the patient is younger than 15 years and the white blood cell count is normal, it is recommended to monitor changes in symptoms a little longer rather than operating hastily.
- Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC). [Journal Article]
- WJWorld J Surg 2016; 40(11):2603-2610
- CONCLUSIONS: Open appendectomy skin closure with a unique absorbable intradermic stitch is safe, with a reduced seroma and abscess incidence, compared to traditional closure, and an equivalent dehiscence and superficial infection incidence, allowing a lower hospital attention cost and length of hospital stay for treatment of complications. The relative risk of complications with traditional skin closure is 2.91 higher, compared to this new technique.
- Fishbone Perforated Appendicitis. [Journal Article]
- JRJ Radiol Case Rep 2016; 10(7):14-22
- Ingested foreign bodies tend to pass through the gastrointestinal tract without incidence, and vast majority of cases do not need intervention. Rarely, these foreign bodies drop into the appendix and...
Ingested foreign bodies tend to pass through the gastrointestinal tract without incidence, and vast majority of cases do not need intervention. Rarely, these foreign bodies drop into the appendix and not likely to re-enter the normal digestive tract. We describe a case of a 72-year-old male patient who presented with right iliac fossa pain of 3-day duration. Clinical examination suggested classic acute appendicitis. Blood test results revealed leukocytosis. Computed tomography of the abdomen and pelvis showed evidence of acute appendicitis and a linear hyperdensity (foreign body) perforating the appendix. The patient was managed successfully with prompt laparoscopic appendectomy and removal of the foreign body which was confirmed to be a fish bone measuring about 10mm. While imaging diagnosis of fishbone in the appendix has been published, reports are few. To the best of the author's knowledge, fishbone induced perforated appendicitis has been described only in 2 cases (including this case) in the literature.
- Antibiotics Versus Surgical Therapy for Uncomplicated Appendicitis: Systematic Review and Meta-analysis of Controlled Trials (PROSPERO 2015: CRD42015016882). [Journal Article]
- AnnSAnn Surg 2016 Oct 17
- CONCLUSIONS: Although antibiotics may prevent some patients from appendectomies, surgery represents the definitive, one-time only treatment with a well-known risk profile, whereas the long-term impact of antibiotic treatment on patient quality of life and health care costs is unknown. This systematic review and meta-analysis helps physicians and patients in choosing between treatment options depending on whether they are risk averse or risk takers.
- A rare presentation of ectopic ovary in a female adolescent and the impact of obesity: a case report. [Journal Article]
- JMJ Med Case Rep 2016 Oct 19; 10(1):287
- CONCLUSIONS: An ectopic inguinal ovary remains a rare occurrence. An urgent and careful exploration of the hernia sac is the standard of care. Careful physical examination of obese girls and women is vital particularly in emergency settings, as obesity in our patient contributed greatly to a missed diagnosis. Clinicians should potentially consider the possibility of an ectopic ovary when faced with girls and women presenting with right iliac fossa pain.
- Therapeutic effectiveness of percutaneous drainage and factors for performing an interval appendectomy in pediatric appendiceal abscess. [Journal Article]
- BSBMC Surg 2016 Oct 18; 16(1):72
- CONCLUSIONS: In this study, we used nationwide data to demonstrate therapeutic effectiveness of percutaneous drainage and antibiotics was more beneficial than only antibiotics in treating patients with an appendiceal abscess. We also found three factors that were significantly associated with receiving an interval appendectomy: recurrent appendicitis, being aged ≤ 13 years, and treatment with antibiotics only.
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- Predictors of Positive CT Yield in Pediatric Patients With Nontraumatic Abdominal Pain. [Journal Article]
- PEPediatr Emerg Care 2016 Oct 6
- CONCLUSIONS: Factors predicting positive CT yield were sex, leukocytosis, neutrophil-to-lymphocyte ratio, and elevated C-reactive protein in the RLQ pain group and leukocytosis in the non-RLQ pain group.