Different manifestation of a familiar diagnosis: From anuria to acute appendicitis

Kaykısız, Eylem Kuday; Yıldırım, Murat; Dadalı, Emrah; Kaykisiz, Hüseyin; Ünlüer, Erden Erol

doi:10.1016/j.ajem.2018.02.040

Cited by 2 publications

(5 citation statements)

References 8 publications

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“…Five case reports featuring different gastrointestinal diseases as the primary presentation of LBP were identified (Table 20 ). These include intussusception [ 23 ], coeliac disease [ 380 ], pyeloduodenal fistula [ 381 ], liver abscess [ 34 ], and acute appendicitis [ 382 ]. While LBP predominantly presents acutely [ 34 , 381 , 382 ], it could also manifest chronically, as observed in coeliac disease [ 380 ].…”

Section: Resultsmentioning

confidence: 99%

“…These include intussusception [ 23 ], coeliac disease [ 380 ], pyeloduodenal fistula [ 381 ], liver abscess [ 34 ], and acute appendicitis [ 382 ]. While LBP predominantly presents acutely [ 34 , 381 , 382 ], it could also manifest chronically, as observed in coeliac disease [ 380 ]. Depending on the disease, accompanying symptoms such as occasional fever with nausea and diarrhoea (intussusception) [ 23 ] or weight loss (coeliac disease) [ 380 , 382 ] indicated an extravertebral origin of LBP.…”

Section: Resultsmentioning

confidence: 99%

“…While LBP predominantly presents acutely [ 34 , 381 , 382 ], it could also manifest chronically, as observed in coeliac disease [ 380 ]. Depending on the disease, accompanying symptoms such as occasional fever with nausea and diarrhoea (intussusception) [ 23 ] or weight loss (coeliac disease) [ 380 , 382 ] indicated an extravertebral origin of LBP. However, the patient with the liver abscess presented solely with acute LBP [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, the patient with the liver abscess presented solely with acute LBP [ 34 ]. Diagnosis was confirmed either by imaging [ 23 , 34 , 381 , 382 ] or biopsy [ 380 , 382 ].…”

Section: Resultsmentioning

confidence: 99%

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Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

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Background Low back pain (LBP) is one of the most common reasons for consultation in general practice. Currently, LBP is categorised into specific and non-specific causes. However, extravertebral causes, such as abdominal aortic aneurysm or pancreatitis, are not being considered. Methods A systematic literature search was performed across MEDLINE, Embase, and the Cochrane library, complemented by a handsearch. Studies conducted between 1 January 2001 and 31 December 2020, where LBP was the main symptom, were included. Results The literature search identified 6040 studies, from which duplicates were removed, leaving 4105 studies for title and abstract screening. Subsequently, 265 publications were selected for inclusion, with an additional 197 publications identified through the handsearch. The majority of the studies were case reports and case series, predominantly originating from specialised care settings. A clear distinction between vertebral or rare causes of LBP was not always possible. A range of diseases were identified as potential extravertebral causes of LBP, encompassing gynaecological, urological, vascular, systemic, and gastrointestinal diseases. Notably, guidelines exhibited inconsistencies in addressing extravertebral causes. Discussion Prior to this review, there has been no systematic investigation into extravertebral causes of LBP. Although these causes are rare, the absence of robust and reliable epidemiological data hinders a comprehensive understanding, as well as the lack of standardised protocols, which contributes to a lack of accurate description of indicative symptoms. While there are certain disease-specific characteristics, such as non-mechanical or cyclical LBP, and atypical accompanying symptoms like fever, abdominal pain, or leg swelling, that may suggest extravertebral causes, it is important to recognise that these features are not universally present in every patient. Conclusion The differential diagnosis of extravertebral LBP is extensive with relatively low prevalence rates dependent on the clinical setting. Clinicians should maintain a high index of suspicion for extravertebral aetiologies, especially in patients presenting with atypical accompanying symptoms.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…However, the patient with the liver abscess presented solely with acute LBP [ 34 ]. Diagnosis was confirmed either by imaging [ 23 , 34 , 381 , 382 ] or biopsy [ 380 , 382 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

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“…AA cases presenting with right upper quadrant pain or anuria alone have also been reported. AA has also been reported in patients presenting with findings such as psoas abscess in the gluteal region or cellulitis (4)(5)(6). Therefore, post-operative parameters are needed for use in the clinical follow-up of AA patients.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Complete Blood Count Parameters Before and After Appendectomy

Katipoğlu¹,

Evrın²,

Yaman³

2019

eamr

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Objective: Acute appendicitis (AA) is the most common cause of intra-abdominal surgery worldwide and its diagnosis continues to be problematic despite advanced technology and diagnostic methods. Easily accessible, economical and non-invasive tests are still under investigation for the diagnosis and after surgery. The purpose of this study was to review postoperative changes in patients' complete blood count (CBC) parameters. Methods:The research was performed as a single-center, retrospective, cross-sectional study. After obtaining the approval of the ethics committee, the data obtained from patients aged over 18, who underwent appendectomy between January 1, 2015 and November 30, 2017, and who were diagnosed with histopathologically confirmed AA, were retrospectively examined. Wilcoxon test was used in statistical analysis to compare pre-and post-operative changes in CBC parameters. A p value of less than 0.05 was considered statistically significant.Results: Men constituted 50% (n=726) of the 1452 enrolled patients. The mean age of the patients was 32.3±16.1 years. Statistically significant differences were determined between pre-operative and post-operative leukocyte white blood cell, lymphocyte, hemoglobin, hematocrit, plateletcrit and mean platelet volume values. Mean neutrophil and platelet count values decreased in the post-operative period, although these decreases were not statistically significant. No statistically significant difference was determined between pre-operative and post-operative neutrophil/lymphocyte ratio (NLR) values. Conclusion:Dilutional changes in CBC parameters may occur following fluid therapy in the post-operative period. We also conclude that NLR is not affected by fluid treatment and may be a valuable parameter in monitoring post-appendectomy infection.

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Different manifestation of a familiar diagnosis: From anuria to acute appendicitis

Cited by 2 publications

References 8 publications

Extravertebral low back pain: a scoping review

Extravertebral low back pain: a scoping review

Evaluation of Complete Blood Count Parameters Before and After Appendectomy

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