Amebic Appendicitis, Peritonitis and Wound Infection

Kleitsch, William P.; Kisner, Paul

doi:10.1097/00000658-195101000-00017

Cited by 11 publications

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the prevalence is therefore highest in under-resourced developing countries with the lowest levels of sanitation, occurrence in developed countries is documented in association with modern travel, high rates of emigration and the existence of high risk groups, such as institutionalised patients and homosexuals [1,16,18]. While the clinicopathological spectrum, morbidity and mortality of invasive intestinal amoebiasis are well recorded in medical literature [6,13,18], clinicopathological reports on isolated amoebic appendicitis (IAA), regarded as a rare intestinal manifestation of invasive amoebiasis globally, are confined mainly to single case reports [2,3,12,17,20,24,25,32]. Although amoebic appendicitis may share the spectrum of complications and morbidity and mortality trends associated with invasive amoebic colitis, some authors have documented excellent outcome in IAA [2,24,25].…”

Section: Introductionmentioning

confidence: 99%

Isolated amoebic appendicitis

et al. 2001

View full text Add to dashboard Cite

Amoebiasis, a disease of worldwide distribution, is endemic in tropical countries with suboptimal sanitation facilities. Isolated amoebic appendicitis (IAA) is regarded as a rare manifestation of the disease globally. Because there are no defined clinical features that distinguish IAA from bacterial appendicitis, diagnosis is usually dependent on histopathological examination. A 9-year retrospective study was undertaken to investigate the clinicopathological aspects of IAA. The main complaints were fever and abdominal pain. None of the patients had dysentery. The pre-operative clinical diagnosis was acute appendicitis and acute abdomen in 13 and 8 patients, respectively. In all cases the intra-operative diagnosis was acute appendicitis. Gross pathological appraisal revealed peritonitis and perforation in 19 and 17 cases, respectively. Histopathological examination of these appendices demonstrated appendiceal ulceration, transmural mixed inflammation, haematophagous amoebic trophozoites and necrosis in all cases. Vascular pathology comprised venous and capillary luminal plugging (11 cases), necrotising small vessel vasculitis (11 cases), thrombophlebitis of medium sized veins (9 cases) and arteritis with associated thrombosis (1 case). Organising fibrinopurulent peritonitis was present in 19 cases. Two appendices that appeared normal macroscopically demonstrated ulceration and inflammation that were confined to the mucosa and submucosa. All of 18 patients who were treated with metronidazole survived without further surgery, while three patients who were untreated succumbed to the disease. Appendicectomy, accurate histopathological appraisal thereof and optimal, timely management of IAA were critical to the favourable outcome in the present study.

show abstract

Section: Introductionmentioning

confidence: 99%

Isolated amoebic appendicitis

et al. 2001

View full text Add to dashboard Cite

show abstract

“…Two of the early studies reported results from barium swallow radiography [39, 40], which was later replaced by imaging analysis. Among the seven patients with findings reported from ultrasonography and/or computed tomography scanning, acute appendicitis was diagnosed in four, periappendicular abscess in two, and a right abdomen lower quadrant mass in one [1, 2, 8, 9, 17, 18, 25].…”

Section: Resultsmentioning

confidence: 99%

“…Operative findings were reported for 153 patients (Table 3), which included 47 (30.7 %) cases of complicated acute appendicitis including perforated appendicitis ( n = 40) [7, 10, 14, 15, 19, 28, 33, 34, 38, 39], periappendicular abscess ( n = 3) [2, 25, 28], amebic mass ( n = 2) [7], and pericecal inflammation ( n = 1) [28]. One complicated case had no details reported [16].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Amebic Acute Appendicitis: Systematic Review of 174 Cases

2013

View full text Add to dashboard Cite

Appendectomy specimens should be routinely sent for histopathologic examination. In the case of suspected amebic acute appendicitis, extra precautions-early appendectomy, metronidazole for antibiotic prophylaxis, wet-preparation examination, obtaining a timely pathology result, increasing the awareness of uncommon complications of appendectomy-can hasten appropriate therapeutic intervention and improve outcome.

show abstract

Surgical Amoebiasis

Desa

1974

Progress in Drug Research / Fortschritte Der Arzneimittelforschung / Progrès Des Recherches Pharmaceutiques

View full text Add to dashboard Cite

Amebic Appendicitis, Peritonitis and Wound Infection

Cited by 11 publications

References 1 publication

Isolated amoebic appendicitis

Isolated amoebic appendicitis

Amebic Acute Appendicitis: Systematic Review of 174 Cases

Surgical Amoebiasis

Contact Info

Product

Resources

About