Apendicite aguda: achados na tomografia computadorizada - ensaio iconográfico

Júnior, Marcelo Eustáquio Montandon; Montandon, Cristiano; Fiori, Gustavo Ribeiro; Filho, Carlos Alberto Ximenes; Cruz, Fernanda Coelho Barbosa da

doi:10.1590/s0100-39842007000300012

Cited by 4 publications

(2 citation statements)

References 10 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite being the most prevalent cause of acute surgical abdomen, the diagnosis of acute appendicitis is hampered by the absence of typical symptoms and of suggestive laboratory data in about 20-33% of the cases. 1 Detection failures can lead to both a negative appendectomy as to complications of the clinical picture. 2,3 In this sense, scoring tests for the diagnosis, such as the Alvarado's Score, can contribute to the early detection of cases of acute appendicitis, reducing individual damage as well as social and material costs.…”

Section: Introductionmentioning

confidence: 99%

Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

Cunha

Neto

Brasil

et al. 2018

Journal of Coloproctology

View full text Add to dashboard Cite

Objective To correlate the patient's clinical data and the Alvarado's Score as predictors of acute appendicitis. Methods This is an observational, descriptive and prospective study performed at a public urgency and emergency hospital in the city of Fortaleza, Ceará, between July and December 2016, with 34 patients undergoing open appendectomy with ages between 18 and 70 years. Statistical analysis was performed using the SPSS program. Results The following statistical correlations were performed: number of days with abdominal pain until the operative event and degree of inflammation according to a macroscopic analysis of the appendix, Alvarado's Score and number of days with abdominal pain until the operative event, Alvarado's Score and degree of inflammation according to a macroscopic analysis of the appendix, number of days with abdominal pain until the operative event, and number of days of hospitalization in the postoperative period, degree of inflammation according to amacroscopic analysis of the appendix, number of days of hospitalization in the postoperative period and Alvarado's Score, and number of days of hospitalization in the postoperative period; the first five correlations were statistically significant ( p < 0.05). Conclusion The use of this Alvarado's Score in health services emerges as a tool for the diagnosis of acute appendicitis.

show abstract

Section: Introductionmentioning

confidence: 99%

Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

Cunha

Neto

Brasil

et al. 2018

Journal of Coloproctology

View full text Add to dashboard Cite

show abstract

“…O tempo de sintomatologia álgica relatado nos prontuários médicos foi de três dias até a admissão na unidade hospitalar. Ainda, segundo o mesmo autor, apesar da demora em apresentar submetidos à apendicectomia laparoscópica, porque desempenha um papel fundamental no fornecimento de informações específicas e precisas sobre a condição e posição do apêndice, bem como a presença de complicações(Montandon Júnior et al, 2007). Neste ainda que além de a TC não ser operador-dependente, e não requerer o mesmo nível de ampla experiência necessária para resultados precisos de US, o diagnóstico quando investigado por meio desse exame é fornecido de maneira mais rápida, diminuindo assim a morbidade e mortalidade.…”

unclassified

Variação anatômica do apêndice cecal e sua implicação na apendicectomia: estudo de caso em uma região do meio oeste catarinense

Da Silva,

Ghyzi,

Scripnic

et al. 2023

OLEL

View full text Add to dashboard Cite

A técnica escolhida para a apendicectomia depende de vários fatores, como a localização do apêndice, a gravidade da inflamação e a experiência do cirurgião. Entretanto, esse órgão, que é comumente localizado em posição retrocecal, pode se apresentar em posição anatômica atípica, gerando desafios diagnósticos e cirúrgicos. O objetivo deste trabalho foi relatar o caso de um paciente com variação anatômica considerada muito rara do apêndice cecal e o impacto deste fator na conduta cirúrgica e no pós-operatório. As informações foram adquiridas através da análise do prontuário, diálogo com o paciente, documentos fotográficos dos procedimentos diagnósticos e revisão de literaturas. O caso relatado e as publicações levantadas trazem a discussão da conduta cirúrgica frente a uma situação complexa que é a variação anatômica do apêndice e evidenciam que, embora uma minoria de casos tenham prognósticos desfavoráveis no momento cirúrgico, quando realizada uma técnica bem executada, a apendicectomia é capaz de obter resultados satisfatórios no que diz respeito à eficácia no diagnóstico precoce e melhoria da qualidade de recuperação do paciente no pós cirúrgico, independente da sua posição anatômica.

show abstract

Alvarado Score in the Diagnosis of Acute Appendicitis: Correlation with the Tomographic and Intra-Operative Findings

Spina

Iamarino

Rosa

et al. 2018

IJRRT

View full text Add to dashboard Cite

Background: Acute appendicitis is one of the most common causes of abdominal pain, accounting for about one-third of patients presenting at emergency services with acute abdomen. A high degree of suspicion is essential for diagnosis. Aim: Evaluate the correlation between the Alvarado score and the tomographic and Intraoperative findings of patients with acute appendicitis. Methods: Descriptive, cross-sectional, retrospective study using data obtained from the Internment Management System of all hospitalized patients with acute appendicitis from June 2014 to June 2015. Data were analyzed and Statistics generated through the Epi Info 7.0 program. Results: 240 patients were evaluated. Of these, 150(62.5%) were male and 90(37.5%) were female, with a mean age of 28.6years. The exclusive clinical diagnosis was performed in 42 patients(17.4%). The relationship between the positive Alvarado score and the tomographic findings was evaluated, being considered positive in the presence of two or more findings. The positive association between Positive Alvarado Score and the presence of tomographic findings was obtained, with Odds Ratio of 1.665 and P=0.1805. The association between the intraoperative findings and the positive Alvarado score was evaluated, in which 8(11.11%) patients were in the edematous phase(Odds Ratio=0,8182 P=0,6474), 31(43,05%) were phlegmonous(Odds Ratio=0,8128, P=0,4655), 15(20.83%) in the gangrenous phase(Odds Ratio=0,9175, P=0,8028) and 18(25%) in the perforated phase(Odds Ratio=1,7949, P=0,1278). Conclusion: There is a positive association between Alvarado score and the presence of tomographic findings, as well as the association between positive Alvarado score and perforation phase.

show abstract

Apendicite aguda: achados na tomografia computadorizada - ensaio iconográfico

Cited by 4 publications

References 10 publications

Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

Variação anatômica do apêndice cecal e sua implicação na apendicectomia: estudo de caso em uma região do meio oeste catarinense

Alvarado Score in the Diagnosis of Acute Appendicitis: Correlation with the Tomographic and Intra-Operative Findings

Contact Info

Product

Resources

About