Complicated acute appendicitis in diabetic patients

Tsai, Shih‐Hung; Hsu, Chin Wang; Chen, Shin Chieh; Lin, Yi‐Bing; Chu, Shi-Jye

doi:10.1016/j.amjsurg.2007.05.042

Cited by 34 publications

(39 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Appendicitis is the most common cause of non-traumatic acute abdominal pain (2), and the most common acute abdominal condition requiring surgery (3). Despite several studies on this issue (4-9), complicated appendicitis (including abscess, phlegmon and generalized peritonitis) still leads to considerable morbidity and mortality rates worldwide, due to high life-time prevalence of acute appendicitis (3).…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have tried to evaluate complicated appendicitis, its contributing factors, patients at risk, and its impact on healthcare resource utilization (1,2,(10)(11)(12)(13)(14)(15). Some of the proposed associations with this condition are diabetes mellitus (1,2), duration of symptoms prior to surgery (16)(17)(18), extremes of age (11-13, 15, 17, 19), various laboratory markers (20)(21)(22) or other novel parameters, such as "intraabdominal pressure" (23), types of medical insurance (19), imaging findings (24) and the underlying pathology of inflamed appendix (25).…”

Section: Introductionmentioning

confidence: 99%

“…Some of the proposed associations with this condition are diabetes mellitus (1,2), duration of symptoms prior to surgery (16)(17)(18), extremes of age (11-13, 15, 17, 19), various laboratory markers (20)(21)(22) or other novel parameters, such as "intraabdominal pressure" (23), types of medical insurance (19), imaging findings (24) and the underlying pathology of inflamed appendix (25).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for the development of complicated appendicitis in adults

Naderan

Babaki

Shoar

et al. 2016

UCD

View full text Add to dashboard Cite

Objective: To investigate the patient's history and physical examination information to find out risk factors associated with complicated appendicitis. Material and Methods:Two hundred patients who were admitted with complicated appendicitis (including abscess, phlegmon, and generalized peritonitis) were retrieved from our database. Two hundred patients with non-complicated acute appendicitis were randomly selected from the same period. These two groups were compared in terms of demographic characteristics, past medical history, and presenting symptoms. We made a multivariate analysis model using binary logistic regression and backward stepwise elimination. Results:Based on multivariate analysis, risk factors for complicated appendicitis included presenting with epigastric pain (OR=3.44), diarrhea (OR=23.4) or malaise (OR=49.7), history of RLQ pain within the past 6 months (OR=4.93), older age (OR=1.04), being married (OR=2.52), lack of anorexia (OR=4.63) and longer interval between onset of symptoms and admission (OR=1.46). Conversely, higher (academic) education was associated with decreased odds for complicated appendicitis (OR=0.26). Conclusion:Our findings suggest that a surgeon's clinical assessment is more reliable to make a judgment. "Bedside evaluation" is a useful, cheap, quick and readily available method for identifying those at risk for developing complicated acute appendicitis.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors for the development of complicated appendicitis in adults

Naderan

Babaki

Shoar

et al. 2016

UCD

View full text Add to dashboard Cite

show abstract

“…However, the prognosis of appendicitis in younger age group as well as the elderly was similar, though in perforated appendicitis, the situation worsened alarmingly. 1,[14][15][16][17][18][19][20][21][22][23][24] To improve our understanding of the sign and symptoms as well as the clinical findings of appendectomy, both in perforated and non-perforated appendicitis, this study was conducted retrospectively on the patients who attended our hospital.…”

mentioning

confidence: 99%

Risk factors of acute and perforated appendicitis in a semi-rural population: a retrospective study

Paidipelly

Sangamitra²

2018

Int Surg J

View full text Add to dashboard Cite

Background: Acute appendicitis is one of the common conditions observed in the surgery department, which requires an emergency appendectomy with complicated appendicitis including perforated appendicitis is a cause of great concern involving severe morbidity and mortality. To improve our understanding of the sign and symptoms as well as the clinical findings of appendectomy, both in perforated and non-perforated appendicitis, this study was conducted retrospectively on the –patients who attended our hospital.Methods: T The demographic details of 184 the patients in this retrospective study were noted such as age, sex, weight and height, socioeconomic status, the sign and symptoms of the illness at the time of admission, time taken for the surgery to be performed after the admission was noted. All the investigations details such as random blood sugar, complete blood picture, hemoglobin, radiological findings abdominopelvic CT scan where necessary were also noted.Results: Out of the 184 patients admitted to our hospital for appendectomy 22% had perforated appendicitis and 78% had uncomplicated nonperforated appendicitis. The mean age of all the patients in the no perforated group was 30 ± 8.3 and 33±10.2 among the perforated group, with males being more affected than females. The most common symptom among all the patients was migrating pain in the abdomen, followed by anorexia, fever and vomiting. There was a greater time lapse between the onset of symptoms to the admission time in the patients with perforated appendicitis (4.9±1.6 days), compared to the non-perforated cases (2.4±1.8 days), with longer hospital stay and raised WBC counts.Conclusions: Proper education regarding the health and well-being of a patient of any age group should properly be given to the patient and their approach to the hospital at the earliest must be reiterated.

show abstract

“…Delayed diagnosis, poor renal function, along with the previous history of diabetic nephropathy are common risk factors for complicated appendicitis [6].…”

Section: Discussionmentioning

confidence: 99%

Complicated acute appendicitis in a patient with Type 2 Diabetes: a case report

Zaidi¹

2018

EJMCR

View full text Add to dashboard Cite

Background: Acute appendicitis usually presents atypically in extremes of ages and can be associated with complications like perforation especially in the elderly and immunocompromised people. Case Presentation: We describe the case of an elderly lady with Type 2 diabetes, on long-term steroids for Sheehan\'s syndrome. She was found to have complicated acute appendicitis, that was ultimately treated with appendicectomy. Conclusion: Appendicitis can manifest atypically and can be complicated in the elderly and immunocompromised individuals like patients with diabetes. It should always be kept in the differentials of right iliac fossa pain.

show abstract

Complicated acute appendicitis in diabetic patients

Cited by 34 publications

References 28 publications

Risk factors for the development of complicated appendicitis in adults

Risk factors for the development of complicated appendicitis in adults

Risk factors of acute and perforated appendicitis in a semi-rural population: a retrospective study

Complicated acute appendicitis in a patient with Type 2 Diabetes: a case report

Contact Info

Product

Resources

About