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Ortíz-Brizuela, Edgar; Quiroz-Compean, Alejandro; Vilatobá-Chapa, Mario; Alberú-Gómez, Josefina

doi:10.6002/ect.2016.0312

Cited by 2 publications

(2 citation statements)

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“…Although acute appendicitis is rare in kidney transplant recipients, it is associated with higher complication rate than that in the general population [1,2]. Diagnosis of acute appendicitis in kidney transplant recipients is different from that in the general population because immunosuppressed state of kidney transplant recipients can mask typical symptoms and position change of appendix after kidney transplantation [3].…”

Section: Introductionmentioning

confidence: 99%

“…In a study analyzing almost 8000 solid organ transplantations, only 17 patients had undergone appendectomy [4]. Because of its low incidence, acute appendicitis in kidney transplant recipients has been studied in case report [3], or retrospective study with limited clinical information [1,2]. Thus, the objective of this study was to investigate characteristics of acute appendicitis in terms of diagnostic rate, location of appendix, and complication in kidney transplant recipients.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients

et al. 2019

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Background Clinical characteristics of acute appendicitis in kidney transplant recipients may be different from those in the general population due to kidney transplant recipient’s immunosuppressive state and position change of appendix caused by graft. Material/Methods Clinical characteristics of 10 cases of acute appendicitis among 2880 cases of kidney transplantation were evaluated, including diagnostic rate, location of appendix and complication in kidney transplant recipients. Results Acute appendicitis was suspected in 9 of 10 patients (90%) with acute appendicitis based on clinical and laboratory findings. Five patients (50%) presented with typical migrating pain and 1 patient (10%) had only periumbilical pain. Leukocytosis (WBC >10 000) was present in 8 patients (80%). Radiologic study revealed various locations of appendix relative to grafted kidney. Computed tomography scan was superior to ultrasonography in diagnosis of acute appendicitis. The complication rate was 50%. Complicated patients showed longer duration from symptoms onset to operation (69±48 hours versus. 25±6 hours, P <0.05) and hospital stay (15.4±15 days versus 5.4±1.8 days, P <0.05) than uncomplicated patients. Conclusions Clinical suspicion and differential diagnosis are needed for kidney transplantation patients with acute appendicitis. Early diagnosis with radiologic study is essential to reduce complications of acute appendicitis.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients

et al. 2019

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Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines

et al. 2021

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Immunocompromised patients are a heterogeneous and diffuse category frequently presenting to the emergency department with acute surgical diseases. Diagnosis and treatment in immunocompromised patients are often complex and must be multidisciplinary. Misdiagnosis of an acute surgical disease may be followed by increased morbidity and mortality. Delayed diagnosis and treatment of surgical disease occur; these patients may seek medical assistance late because their symptoms are often ambiguous. Also, they develop unique surgical problems that do not affect the general population. Management of this population must be multidisciplinary.This paper presents the World Society of Emergency Surgery (WSES), Surgical Infection Society Europe (SIS-E), World Surgical Infection Society (WSIS), American Association for the Surgery of Trauma (AAST), and Global Alliance for Infection in Surgery (GAIS) joined guidelines about the management of acute abdomen in immunocompromised patients.

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Abstract: The diagnosis of acute appendicitis in kidney transplant recipients requires a high index of suspicion. Kidney transplant recipients with acute appendicitis had good outcomes with a therapeutic approach similar to that used in the general population.

Cited by 2 publications

References 14 publications

Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients

Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients

Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines

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