- Investigating Diagnostic Value of Ultrasonography in Acute Appendicitis. [Journal Article]
- ABAdv Biomed Res 2018; 7:113
- CONCLUSIONS: Considering very low-negative predictive value in educational centers, it is suggested that ultrasound is done for diagnosis of appendicitis only in complicated cases of appendicitis and differential diagnose (kidney stones, and ovarian cysts). In addition, it is recommended that routine ultrasound be avoided for all patients.
- A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography. [Journal Article]
- CRCase Rep Surg 2018; 2018:5324320
- The de Garengeot hernia is an uncommon and potentially confounding pathologic process in which the appendix is contained within a femoral hernia. While typically a benign incidental finding, superimp...
The de Garengeot hernia is an uncommon and potentially confounding pathologic process in which the appendix is contained within a femoral hernia. While typically a benign incidental finding, superimposed acute appendicitis is a rare but serious complication. Identification of this entity is crucial to patient management and ultimately outcome with imaging playing a critical role. Cross-sectional imaging, with either CT or MRI, should be performed in all cases of suspected incarcerated de Garengeot hernia to facilitate the appropriate diagnosis and surgical intervention. Herein, we present the fifth case of a prospective CT diagnosis of the de Garengeot hernia in a 61-year-old female who presented with an irreducible right femoral hernia. The patient underwent CT examination which demonstrated the appendix within the femoral hernia sac with an associated periappendiceal fluid collection. The patient was taken for emergent surgical intervention at which time the appendix was found within the hernia sac. The appendix was removed, the defect repaired, and ultimately the patient recovered well.
- Utility of standardized discharge criteria after appendectomy to identify pediatric patients requiring intervention after postoperative imaging. [Journal Article]
- SSurgery 2018 Aug 13
- CONCLUSIONS: Standardized criteria identifying failure of ability to discharge the patient after appendectomy limits the need for unnecessary imaging. In the management of pediatric appendicitis, a selective approach resulted in a high yield of complications requiring intervention after obtaining postoperative imaging.
- Immediate surgery or conservative treatment for complicated acute appendicitis in children? A meta-analysis. [Review]
- JPJ Pediatr Surg 2018 Jul 27
- CONCLUSIONS: IS was associated with shorter LOS, while overall complication rates and wound infection declined significantly with CT. The development of intraabdominal abscess and postoperative ileus was not affected by the treatment of choice. The heterogeneity of most studies depicts the need for randomized controlled trials (RCTs) to discover safe management of CAA in children.
- MRI of the Nontraumatic Acute Abdomen: Description of Findings and Multimodality Correlation. [Review]
- GCGastroenterol Clin North Am 2018; 47(3):667-690
- Obtaining a specific diagnosis in the nontraumatic acute abdomen can be clinically challenging, because a wide range of disease processes affecting a number of different organ systems may have very s...
Obtaining a specific diagnosis in the nontraumatic acute abdomen can be clinically challenging, because a wide range of disease processes affecting a number of different organ systems may have very similar presentations. Although computed tomography and ultrasound examination are the imaging tests most commonly used to evaluate the acute abdomen, MRI can often offer comparable diagnostic performance, and may be considered when other modalities are equivocal, suboptimal, or contraindicated. In some circumstances, MRI is emerging as an appropriate first-line imaging test.
- Volume kinetics of Ringer's lactate solution in acute inflammatory disease. [Journal Article]
- BJBr J Anaesth 2018; 121(3):574-580
- CONCLUSIONS: No association was found between the volume kinetics of Ringer's lactate solution and the degree of inflammation as indicated by established biomarkers in patients with cholecystitis or appendicitis. However, the rate of elimination was greatly retarded by general anaesthesia in both groups.
- [The role of in-hospital protocols in diagnosis and treatment of ulcerative gastroduodenal bleeding]. [Journal Article]
- KKhirurgiia (Mosk) 2018; (8):56-60
- To improve immediate results in patients with acute ulcerative gastroduodenal bleeding.
To improve immediate results in patients with acute ulcerative gastroduodenal bleeding.
- European Paediatric Surgeons' Association Survey on the Management of Pediatric Appendicitis. [Journal Article]
- EJEur J Pediatr Surg 2018 Aug 15
- CONCLUSIONS: Some aspects of appendicitis management lack consensus, particularly appendix mass and intraperitoneal abscess. Evidence-based guidelines should be developed, which may help standardize care and improve clinical outcomes.
- Appendiceal Carcinoids and the Reality of Nonoperative Acute Appendicitis: Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database. [Journal Article]
- ASAm Surg 2018 Jul 01; 84(7):e234-e236
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- Closed-Loop Bowel Obstruction Secondary to Acute Appendicitis. [Journal Article]
- ASAm Surg 2018 Jul 01; 84(7):e215-e216