Acute appendicitis presenting as chest pain

Kshirsagar, Ashok Y; Bansal, Sumit; Somnath, Shreyas; Prabhu, Abhishek Narayan; Dhulkhed, Vithal K; Nikumbh, Dhiraj B.

doi:10.1016/j.ijscr.2011.12.004

Cited by 10 publications

(5 citation statements)

References 9 publications

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“…Acute appendicitis is the most common condition requiring emergency abdominal surgery in the pediatric population, with 60,000–80,000 cases annually in the UnitedStates [8,9]. The condition typically develops in older children and young adults.…”

Section: Resultsmentioning

confidence: 99%

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Ultrasonography (US) in the assessment of pediatric non traumatic gastrointestinal emergencies

et al. 2013

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BackgroundNon traumatic gastrointestinal emergencies in the children and neonatal patient is a dilemma for the radiologist in the emergencies room and they presenting characteristics ultrasound features on the longitudinal and axial axis. The most frequent emergencies are : appendicitis, intussusceptions, hypertrophic pyloric stenosis, volvulus due to intestinal malrotation. The aim of this article is to familiarize the reader with the US features.MethodsA retrospective analysis of 200 ultrasound examinations performed in neonatal and children patients with fever, abdominal pain, leukocytosis, vomiting and diarrhea were evaluated.ResultsOf 200 exame 50 cases of intussusceptions, 100 cases of appendicitis, 20 cases associated with abscess;10 gangrenous appendicitis with absence a color Doppler , and 10 cases of perforated appendicitis at tomography computer integration and 10 cases of volvulus was found.ConclusionsUltrasonography (US) is therefore rapidly becoming an important imaging modality for the evaluation of acute abdominal pain, particularly in pediatric patients, where satisfactory examination is often not achievable for the attending clinicians. US provides excellent anatomic detail on the longitudinally and axial axis .

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Section: Resultsmentioning

confidence: 99%

“…(Fig. 4b) On the axial image, we evaluated a “target sign” characterized by a fluid-filled center and surrounded by a echogenic mucosa and sub-mucosa and hypo-echoic muscularis [9,10]. (Fig.…”

Section: Resultsmentioning

confidence: 99%

Ultrasonography (US) in the assessment of pediatric non traumatic gastrointestinal emergencies

et al. 2013

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“…These reported cases have typically presented with chest pain, which would be expected given that the inflammatory process is intrathoracic. [7][8][9][10] There has been one other case of intrathoracic appendicitis presenting with classic signs and symptoms of appendicitis. Barakat and Vickers 11 reported a case wherein a woman with marfanoid features was found to have intrathoracic appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Perforated Appendicitis Within a Morgagni Hernia: A Laparoscopic Repair

Clark

Tabak

Schlussel

et al. 2014

CRSLS

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Laparoscopic repair of a Morgagni hernia is a well-described technique in children or adults who present well beyond the neonatal period. However, it is still most often being repaired by an open approach. This repair can be more challenging when a concomitant infectious process is present, which in this case was a perforated appendicitis. A 22-year-old man presented with typical appendicitis but was found to have a perforated appendicitis contained within a congenital diaphragmatic hernia. We demonstrate the safety and efficacy of using laparoscopy to repair a Morgagni hernia, in the setting of a contaminated field, with primary suture repair. Our patient was able to have both his appendectomy and his Morgagni hernia repair with a single operation, and there was no recurrence of the diaphragmatic defect.

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“…Usually clinical manifestation was due to ectopic kidney, spleen, or acute gastrointestinal (GI) incidents (gastric volvulus, acute appendicitis, intestinal obstruction, or necrosis with perforation). 9,[13][14][15] Until now, there is no reported cases of late manifestation of typical posterolateral herniation in patients operated previously because of congenital heart defect.…”

Section: Discussionmentioning

confidence: 99%

“…Late presentation of CDH is uncommon. [6][7][8][9][10][11][12] For selected group of patients is still open the question, whether previously undiagnosed hernia is presenting since birth (latent, without any symptoms) or appears later on time of clinical manifestation. We present exceptional rare group of three patients who were previously treated in our hospital because of heart defect and at this time, they did not present clinical and radiological signs of CDH.…”

Section: Introductionmentioning

confidence: 99%