Successful surgical management of non-perforating acute appendicitis with septic disseminated intravascular coagulation: A case report and review of the literature

Komo, Toshiaki; Kohashi, Toshihiko; Aoki, Yoshirou; Hihara, Jun; Oishi, Koichi; Tokumoto, Noriaki; Kanou, Mikihiro; Nakashima, Akira; Shimomura, Manabu; Miguchi, Masashi; Mukaida, Hidenori; Hirabayashi, Naoki

doi:10.1016/j.ijscr.2019.01.016

Cited by 4 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis of AA is mostly clinical and proper history, physical examination and a raised inflammatory parameter help with the diagnosis [10]. To this day, the gold standard treatment for AA is appendectomy, and interval appendectomy nowadays is not uncommon [11]. Non-Operative Management (NOM) of AA has been proposed by several randomized controlled trails 2–8 and meta-analyses 7,9–15 and see it as viable option along with the century standing practice of surgical resection [12].…”

Section: Discussionmentioning

confidence: 99%

Enterobius vermicularis causing acute appendicitis, a case report with literature review

Hammood

Salih

Mohammed

et al. 2019

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Enterobius vermicularis causing acute appendicitis, a case report with literature review

Hammood

Salih

Mohammed

et al. 2019

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Trauma, pancreatitis, cancer, snake bites, liver illness, transplant rejection, and transfusion reactions are some of the other causes of DIC. About 15.5 percent of DIC cases have also been connected to post-surgical problems [1,[17][18][19][20][21][22].…”

Section: Etiologymentioning

confidence: 99%

Management of Disseminated Intravascular Coagulation in Emergency: A Review

Sonbul

Alabid

Almarshad

et al. 2021

JPRI

View full text Add to dashboard Cite

Disseminated intravascular coagulation (DIC) is life threatening disease it’s often associated with sepsis, which require ICU management. In individuals with sepsis, the risk of DIC is especially high, DIC affects 30 to 50 percent of these individuals. Also it affects only about ten percent of patients with solid tumors, trauma, or obstetric emergencies. Hematological malignancies, aneurysms, and liver diseases can also cause the disease, the treatment for DIC focuses on resolving the underlying problem that led to this condition in the first place. As a result, antibiotics for severe sepsis, delivery in the case of placental abruption, and exploratory surgical intervention in the case of trauma are the pillars of DIC treatment, Patients with active bleeding or a high risk of bleeding, as well as those who require an invasive surgery, should consider platelet and plasma transfusions. Other anti-coagulant drugs can also be used. Prothrombin complex concentrates should only be administered in an emergency, due to their possible dangers. Recombinant human soluble thrombomodulin rhTM it was developed and licensed for clinical usage in Japan in 2008, and it’s one of the novel treatments for DIC. Anti-Xa agents, Synthetic protease inhibitors, and antithrombin are another options for treatment. In this article we will be making overview of the disease, it’s etiology an what’s the current management options.

show abstract

“…Similarly a study in 2019 also showed that the surgical treatment of acute appendicitis is the gold standard and the use of narcotic analgesia prior to the operation did not alter the decisive accuracy of the acute appendicitis 9 .…”

Section: Introductionmentioning

confidence: 97%

Effect of Narcotic Analgesia on Decision to Operate in Acute Appendicitis

Anwer¹,

Anwar²,

Chaudhry³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Aim: To study that narcotic analgesia administration in patients of acute appendicitis does not delay the diagnosis and does not interfere with the decision to operate in these patients. Study design: A randomized cross-over study. Setting and duration of study: Study was done at surgery department of Combined military hospital Lahore over a period of two years from March 2019-2021. Methodology: It was a double-blind randomized crossover study. A total of 100 patients, who were confirmed as acute appendicitis by clinical examination, were included. All the male and female patients of age 16 years and above were included in the study. The patients were divided in two groups each having 50 patients. The drugs were labelled as drug A and drug B. Drug A was morphine and drug B was placebo. Each drug was given to both the groups by crossover with an interval of 30 minutes and the components of physical examination were analyzed for both groups. The pain score was calculated by the visual analogue scale (VAS) for both the groups at both intervals. The p-value was calculated by using student’s t-test. The frequency and percentages of the decision to operate were calculated. The data was tabulated and then analyzed on SPSS version 23. Results: The pain score was calculated for both groups of male and females. The pain score difference was calculated in both groups and then p-value was calculated which came out to be significant. The frequencies of the decision to be operated were also calculated in both the groups and the results showed that there was no effect of narcotic analgesia on the decision to operate in patients with clinically diagnosed acute appendicitis Conclusion: The use of morphine analgesia in the patients of acute appendicitis does not alter the diagnostic efficacy of the patients of acute appendicitis. Keywords: Acute abdominal pain, acute appendicitis, Narcotic analgesia, Visual analog scale (VAS)

show abstract

Successful surgical management of non-perforating acute appendicitis with septic disseminated intravascular coagulation: A case report and review of the literature

Cited by 4 publications

References 11 publications

Enterobius vermicularis causing acute appendicitis, a case report with literature review

Enterobius vermicularis causing acute appendicitis, a case report with literature review

Management of Disseminated Intravascular Coagulation in Emergency: A Review

Effect of Narcotic Analgesia on Decision to Operate in Acute Appendicitis

Contact Info

Product

Resources

About