Perforated appendicitis in a septuagenarian

Sanda, Robert B; Seliem, Salah I; Omar, Elrasheed; Ashraf, S

doi:10.4103/1596-3519.84701

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Total ESBL positivity was detected as 9 (31.2%) and 6 (33.3%) in pediatric and adult patients, respectively. In most of the studies, it was found to be more common in elderly patients having mental confusion, obesity or immune-specific condition and it was responsible for the high incidence of generalized peritonitis and mortality and the mortality and morbidity rate of appendicitis were reported as 2 to 14%, and 40% in elderly patients, respectively [7,[10][11][12][13]. In the present study, the age range of adult patients was 18 to 65 y.…”

Section: Discussionmentioning

confidence: 50%

The importance of culture-antibiogram and evaluation of the empirical antibiotic treatment in peritonitis due to perforated appendicitis acquired intra-abdominal infection

Sayıner¹,

Akgün²,

Apaydın³

et al. 2018

biomedicalresearch

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Prudent use of antibiotics gains more importance as increased antibiotic resistance along with a gradual recession in newly developed antibiotics is seen. It is aimed to show the importance of cultureantibiogram for detecting causative bacteria and antibiotic resistance profile for prudent antibiotic usage and empirical antibiotic coverage in pediatric and adult cases with peritonitis secondary to perforated appendicitis. This study includes a total of 58 patients who underwent surgery for perforated appendicitis and secondary peritonitis. Cultures-antibiogram obtained by suctioning of the peritoneal fluid or swabbing during the surgery of the patients having proliferation was evaluated. Out of total 35 pediatric cases, E. coli in 27 cases, E. coli and P. aeruginosa in 5 cases. In the 32 cases with E. coli cultured, antibiotic resistance was seen for Ampisilin-sulbactam (SAM) in 13 (36.1%) cases, ceftriaxone in 12 (33.3%) cases and Extended Spectrum Beta Lactamase (ESBL) in 10 (31.2%) cases. Out of total 23 adult cases, E. coli was cultured in 18 cases. Of the 18 cases with E. coli cultured, antibiotic resistance was seen for SAM in 10 (43.4%) cases, ceftriaxone in 9 (39.1%) cases and ESBL in 6 (33.3%) cases. It is believe that the evaluation of peritoneal culture results obtained during surgery will lead to a decrease in mortality and morbidity rates.

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Section: Discussionmentioning

confidence: 50%

The importance of culture-antibiogram and evaluation of the empirical antibiotic treatment in peritonitis due to perforated appendicitis acquired intra-abdominal infection

Sayıner¹,

Akgün²,

Apaydın³

et al. 2018

biomedicalresearch

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“…Furthermore, they can present with changes in bowel habits in the form of diarrhea or constipation [14,15]. In addition, they can present with pain in atypical locations, such as left-sided abdominal pain or peri-umbilical abdominal pain radiating to the left side of the umbilicus [16,17].…”

Section: Nausea or Vomitingmentioning

confidence: 99%

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease

Almusaylim,

Foula,

Al Amin

et al. 2024

Cureus

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Appendicitis, an inflammation of the vermiform appendix, is one of the most common causes of acute abdomen and one of the most frequent indications for emergency abdominal surgery worldwide. Any person older than 65 years old is considered elderly. The elderly population constitutes only 5-10% of total appendicitis cases. The symptoms depend on the location of the appendix. Generally, lower abdominal pain and anorexia are known to be the most common symptoms of appendicitis. Although young adults have a higher prevalence of appendicitis, the elderly have a higher complication rate, 37.5% versus 43.97%. In this article, we report a case of appendicitis in an 86-year-old gentleman known to have type 2 diabetes mellitus, hypertension, and prostate cancer. The patient was managed successfully after a complicated hospital course and discharged in an improved and stable condition.

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Atypical Presentation and Diagnostic Challenges of Appendicitis in an 85-Year-Old Male: A Case Report

Hashim,

AlTahan,

Elgassim

et al. 2024

Cureus

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Acute appendicitis in elderly individuals is uncommon and poses a significant challenge due to atypical symptomatology. An 85-year-old male presented to the emergency department (ED) with abdominal pain associated with nausea and reduced oral intake. Physical examination revealed diffuse abdominal tenderness. He was initially treated for constipation with an enema and discharged. Two days later, the patient returned with worsened pain and a new onset of fever. Examination revealed guarding. Lab results showed significant elevation in C-reactive protein (CRP) and white blood count (WBC). A contrast-enhanced computed tomography (CT) scan showed evidence of a perforated appendix. He was admitted into the surgical ward and improved on conservative treatment. This case describes an atypical presentation of acute appendicitis in an elderly patient, emphasizing the importance of recognizing unusual presentations in this population. Early use of contrast-enhanced CT scans is crucial for accurate diagnosis and improving patients outcomes.

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Perforated appendicitis in a septuagenarian

Cited by 3 publications

References 9 publications

The importance of culture-antibiogram and evaluation of the empirical antibiotic treatment in peritonitis due to perforated appendicitis acquired intra-abdominal infection

The importance of culture-antibiogram and evaluation of the empirical antibiotic treatment in peritonitis due to perforated appendicitis acquired intra-abdominal infection

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease

Atypical Presentation and Diagnostic Challenges of Appendicitis in an 85-Year-Old Male: A Case Report

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