Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management

Usefulness of a Clinico-Biological Francois’ Score in the Diagnosis of Acute Appendicitis: Experience of the University Hospital Center of Parakou, Benin

“…The low specificity (around 50%) found in the studies is the criticism of this score [9]. James DL et al had false positive in group1 (3/63 cases) while all our group 1 cases where confirmed after surgical procedures.…”

“…Acute appendicitis remains one of the most common digestive surgical conditions and one every ten people is at risk for acute appendicitis before the end of life [9]. Because of its clinical polymorphism the diagnosis sometimes remained a challenge before the era of the CT scan and even after [10].…”

Recommendations for Intra-abdominal Infections “Consensus Report”

“…Biyokimyasal tetkikler: İAE'nin tanı ve tedavisinin izleminde prokalsitonin, CRP ve serum amiloid A gibi biyokimyasal tetkiklerin yerini değerlendiren çalışmalarda farklı sonuçlar sunulmaktadır [8,9,[18][19][20][21][22] . SFAR 2015 İAE yönetimi rehberinde, bu belirteçlerin tanıda kullanılamayabileceği ve yapılan çalışmaların hiçbirinin antibiyotik tedavi süresinin belirlenmesinde değeri olmadığı bildirilmektedir.…”

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“…erative radiological examinations, and some guidelines recommend imaging studies routinely in the work-up of patients with suspected acute appendicitis [8] On the other hand, some studies conclude that neither CT nor US improve the diagnostic accuracy, but delay surgery [9,10] thus increasing length of hospital stay and cost [11]. The combination of clinical evaluation and radiological investigations may be the ideal work -up [12,13].…”