Chronic Appendicitis: An Often Forgotten Cause of Recurrent Abdominal Pain

Shah, Shenil; Gaffney, Ryan R.; Dykes, Thomas M.; Goldstein, Jennifer

doi:10.1016/j.amjmed.2012.05.032

Cited by 33 publications

(48 citation statements)

References 3 publications

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“…Although not considered a surgical emergency, it is often a missed diagnosis with complications such as perforation or abscess formation [Shah et al 2013]. computed tomography (CT) scan is considered to be the best test for diagnosis of CA [Shah et al 2013]. We describe a 39-year-old man with a history of chronic right lower quadrant pain greater than 6 months duration who was found to have CA while undergoing a colonoscopy.…”

Section: Introductionmentioning

confidence: 99%

Chronic appendicitis: uncommon cause of chronic abdominal pain

Kothadia

Katz

Ginzburg³

2015

Therap Adv Gastroenterol

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Section: Introductionmentioning

confidence: 99%

Chronic appendicitis: uncommon cause of chronic abdominal pain

Kothadia

Katz

Ginzburg³

2015

Therap Adv Gastroenterol

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“…The incidence of chronic appendicitis has been reported in 1.5% of all appendicitis cases (6), thus the high risk of perforation requires immidiate surgical treatment in patients with a high index of suspicion of acute diverticulitis of the appendix. Appendiceal diverticulosis demonstrates a significant association with obstructing or incidental appendiceal neoplasms.…”

Section: Discussionmentioning

confidence: 99%

Appendiceal Diverticulitis - A Case Report

Constantin¹,

Carâp²,

Nica³

et al. 2017

chr

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RezumatDiverticulita apendiculară este o cauză rară a durerii din fosa iliacă dreaptă. Chiar dacă este simptomatică sau descoperită întâmplător în timpul apendicectomiei sau irigografiei, trebuie înţeleasă evoluţia clinică pentru a avea o atitudine terapeutică corectă. În acest articol vom prezenta cazul unei bolnave în vârstă de 50 de ani cu diverticulită apendiculară descoperită întâmplător în timpul apendicectomiei.Cuvinte cheie: diveticulită, apendicită, chirurgie de urgenţă, diverticuli AbstractAppendiceal diverticulitis is a very rare cause for pain in the right iliac fossa. Whether it is simptomatic or discovered randomly during an appendectomy or barium enema, understanding its clinical evolution is important for having a good management. In this report we present the case of a 50 year old female who underwent an open appendectomy during which we discovered appendiceal diverticulitis.

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“…First, the CT finding of a ‘misty mesentery’, a term first used by Mindelzun et al in 1995, describes the radiological appearance of mesenteric fat infiltrated by inflammatory cells, fluid, tumour and/or fibrosis 6. The finding of a misty mesentery on imaging is associated with multiple conditions that cause inflammation of the peritoneal organs.…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of a familiar pathology: chronic appendicitis

et al. 2016

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We present a case of a man who experienced night sweats, abdominal pain and fever for over 3 months, with incomplete response to broad-spectrum intravenous antibiotics. Although CT imaging was insufficient to identify the cause for his chronic abdominal pain, the abnormality of a ‘misty mesentery’ was crucial in guiding further investigation. The final diagnosis of chronic appendicitis was made through laparoscopic and pathological examination. This case highlights the utility of a collaborative diagnostic effort between disciplines. Chronic appendicitis can cause lingering abdominal pain. Early recognition and appropriate referral can save patients months and even years of unnecessary suffering.

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Chronic Appendicitis: An Often Forgotten Cause of Recurrent Abdominal Pain

Cited by 33 publications

References 3 publications

Chronic appendicitis: uncommon cause of chronic abdominal pain

Chronic appendicitis: uncommon cause of chronic abdominal pain

Appendiceal Diverticulitis - A Case Report

Unusual presentation of a familiar pathology: chronic appendicitis

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