Prevalence of Appendix Perforation in Patients Presenting with Acute Appendicitis: A Cross-Sectional Study

Ghias, Nighat; Tasneem, Aisha; Mal, Lekhraj; Memon, Aftab Ahmed; Owais, Muhammad Abid; Tasneem, Bushrsa

doi:10.53350/pjmhs22162986

Cited by 2 publications

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“…The complete preoperative diagnosis of PAp is of significant clinical importance as its management differs from that of uncomplicated appendicitis [5] . While patients that had surgery for uncomplicated appendicitis tend to attain quick recovery, usually within one or two days post-op, with limited chances of complications, particularly after having a laparoscopic appendectomy, some studies have shown that most PAp patients will 3/6 https://www.doi.org/10.53964/jmmi.2023001 have longer hospital stay and increased possibility of post-op complications [6] .…”

Section: Discussionmentioning

confidence: 99%

“…While uncomplicated appendicitis can sometimes be treated using antibiotic therapy since the wall of the appendix is not compromised, complicated appendicitis on the other hand requires immediate surgical intervention [4] . When the wall of the inflamed appendix gets compromised, this leads to perforation, abscess, and peritonitis, which if left unmanaged can cause sepsis and potentially death [5] . This case report aims to present some of the ultrasound appearances seen in perforated appendicitis (PAp) and to review some of the relevant literature available on the imaging of PAp and its accompanying complications.…”

Section: Introductionmentioning

confidence: 99%

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Perforated Appendicitis

2023

J Mod Med Imag

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Background: Globally, nearly 100 in 100,000 adults develop appendicitis every year. When the wall of the inflamed appendix gets compromised, this leads to perforation, abscess, and peritonitis, which if left unmanaged can cause sepsis and potentially death.The Case: This is a case of a 51-year old male that presented to the Surgical Triage Unit with right lower quadrant pain ongoing for four days, and some intermittent sharp pain. Ultrasound revealed an inflamed appendix in the right iliac fossa measuring 18mm in AP dimension with an irregular wall outline, loss of wall stratification, and a heterogeneous luminal content. Furthermore, a small amount of fluid was seen close to the compromised wall of the appendix near its fundal tip in keeping with complicated appendicitis with possible perforation. Computed tomography (CT) revealed a dilated and fluid-filled appendix measuring 17mm in AP dimension with a tiny appendicolith at the tip of the appendix. However, there was no evidence of free gas or periappendiceal abscess seen on CT to suggest perforation. The patient underwent laparoscopic appendectomy the following day and this revealed perforated appendicitis (PAp) with four quadrants peritonitis. Histopathology revealed a transmural acute inflammation with an overlying serosal reaction, ulcerated epithelium, and loss of the muscularis propria layer. Conclusion:This case report highlights the features of PAp seen on ultrasound imaging and also discusses the role of ultrasound, CT, and haematology in the diagnosis of PAp based on recent works of literature.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perforated Appendicitis

2023

J Mod Med Imag

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Effects of Early Mobilization on Pain Among Children Post Appendectomy at Children Hospital Lahore

Manzoor,

Afzal,

Sarwer

et al. 2023

NRS

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Early mobilization means interval starting with initial physiologic mobilization and continuing through the hospital stay. Mobilization includes the activities that help critical patients to move, and ambulate with or without assistance using a walker and/or support from staff. Objective: To assess the effect of Early Mobilization on pain and wound healing among children post appendectomy. Methods: A randomized control study was conducted from December 2022 to August 2023 at the Children hospital Lahore. The target population consisted of children undergone appendectomy at Children hospital Lahore. A random sample of n=26 was recruited. Validated tool was used for data collection from participants to assess the pain in the control and interventional group. Initially, Pre-assessment was conducted to obtain pain scores, then the intervention as early mobilization was provided to the interventional group while the control group was observed with usual care. After the intervention in the post assessment, the data were collected from the control and interventional group to compare the effect of intervention. Results: The study results revealed that after the intervention, the assessment at 1st follow-up showed somewhat significant difference in control and interventional group scores of pains. A significant mean difference was found on pain between control and interventional group scores at the 2nd follow up where z (-2.056) =, p value=0.040. Conclusions: Overall, these findings suggest that early mobilization intervention has a positive and statistically significant impact on reducing mean pain scores.

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Prevalence of Appendix Perforation in Patients Presenting with Acute Appendicitis: A Cross-Sectional Study

Cited by 2 publications

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Perforated Appendicitis

Perforated Appendicitis

Effects of Early Mobilization on Pain Among Children Post Appendectomy at Children Hospital Lahore

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