Appendectomy in a large metropolitan hospital

Silberman, Victor A.

doi:10.1016/0002-9610(81)90437-2

Cited by 72 publications

(22 citation statements)

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“…9 This geographical variation was extensively studied by Burkitt (1971) 1 who attributed the frequency of acute appendicitis to Western dietary habits. The higher diagnostic accuracy in males (75%) than in females (43%) has also been reported by others, 7,8 and is considered to be due to clinical confusion with gynecological conditions that can mimic acute appendicitis.…”

Section: Discussionsupporting

confidence: 51%

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Retrospective Study of Acute Appendicitis in Jordan

Al-Jitawi

1990

Ann Saudi Med

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Analysis of histopathological data obtained from 2264 emergency appendectomies performed in Jordan during 1975 to 1979 revealed a diagnostic accuracy rate of 61% ; 65% of the patients were in the second and third decades and the male to female ratio was 2.1:1.0. A seasonal variation of acute appendicitis with a peak in summer months was observed. The factors that may account for this variation will be discussed. SA Al-Jitawi, Retrospective Study of Acute Appendicitis in Jordan. 1990; 10(4): 426-428The high prevalence of acute appendicitis in Western countries is attributed to dietary habits.1 In Jordan, the quantity and variety of fresh fruits and vegetables are affected by seasonal variations. This study was carried out to assess the main epidemiological features of the disease, particularly in relation to dietary habits. Material and MethodsA total of 2264 appendectomy specimens were collected from the pathology files of Central Government Medical Laboratories, King Hussein Medical Centre, and Jordan University Hospital. These represent all cases of appendectomy performed in Amman during 1975 to 1979. Incidentally removed appendices were excluded. In each case a miniumum of three hematoxylin-eosinstained sections were reviewed. The polymorphonuclear leukocytic infiltration of the muscularis propria of the appendix was the histological criterion adopted for the diagnosis of acute appendicitis.2 Each patient was categorized on the basis of age, sex, and date of operation. A list of the quantity and kind of fresh fruits and vegetables consumed in the Amman area was obtained from the Statistics Department, Ministry of Agriculture, Jordan.

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Section: Discussionsupporting

confidence: 51%

“…The diagnostic accuracy reported from other series ranged between 56 and 82% (Table 1). [3][4][5][6][7][8] Patient age in 65% of the patients with acute appendicitis ranged between 11 and 30 years, with 36% between 11 and 20 years ( Table 2). The youngest patient with acute appendicitis was 24 days and the oldest was 84 years.…”

Section: Resultsmentioning

confidence: 99%

Retrospective Study of Acute Appendicitis in Jordan

Al-Jitawi

1990

Ann Saudi Med

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“…A high temperature or a slight temperature is common; however 25% to 50% of all patients with acute appendicitis have a normal temperature. 14,15,16 Physical exam will show tenderness of the belly. Rebound tenderness (severe pain with letting go of the belly after pushing on it), guarding (tensing the stomach muscles), and rigidity (hard stomach) may be also be present depending on the level of irritation.…”

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confidence: 99%

“…Perforation or bursting may occur in around 10% to 30% of patients with appendicitis. 11,12,13,14,15,16 Late problems after bursting of the appendix include abscess (collection of pus), or localized accumulation of pus around the appendix. This can happen in up to 10% of patients with acute appendicitis.…”

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confidence: 99%

Acute Appendicitis

Cudworth¹

2014

Rev LibrOfMed

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SummaryAcute appendicitis is a very common problem in well developed countries. There seems to be a dietary influence involved but this has not been proven. The most common cause of acute appendicitis is blockage of the inside of the appendix by a fecalith (stool or fecal stone). History and physical examination and blood work results are usually enough to correctly make the diagnosis. X-ray tests such as ultrasound, CT scans or MRI may help in confirming the diagnosis. The treatment of choice is surgical removal of the irritated appendix, which can be safely done by an open or a laparoscopic technique. AbstractAcute appendicitis is a very common disease where the appendix becomes blocked, and leads to irritation and infection. When the appendix becomes irritated the patient can feel belly pain. The belly pain is first felt near the belly button and after a while it can move to the right lower area of the belly. The pain may go along with a loss of wanting to eat, nausea and vomiting. Many things can block the appendix opening leading to loss of blood supply and appendicitis. This includes waste produced from the food we eat, inflamed lymph nodes around the appendix or a growth in the appendix. Treatment is usually surgery to remove the appendix (appendectomy) as well as antibiotics given through a vein. The diagnosis is usually made by talking to and examining the patient and checking with different types of tests. Surgery works well in most patients who have appendicitis. The risk of having a problem or complication is low. Surgery to remove the appendix may be safely done with an open technique with a larger incision (laparotomy) or using small incisions and a camera (laparoscopic). They both have small short term and long term risks.

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“…A surgical false-positive rate of up to 25% is accepted in order to reduce the risk of complications such as rupture and peritonitis [1]. Even with careful observation, the overall false-positive laparotomy rate remains 10-15% [2]. We evaluated the use of In-ill-labeled leukocyte scintigraphy for the diagnosis of appendicitis.…”

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confidence: 99%