The Impact of Postoperative Abscess Formation in Perforated Appendicitis

Fike, Frankie B.; Mortellaro, Vincent E.; Juang, David; Sharp, Susan W.; Ostlie, Daniel J.; Peter, Shawn D. St.

doi:10.1016/j.jss.2011.03.038

Cited by 62 publications

(40 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to the results of previous studies [18,37], in our study, post-operative adverse events were associated with longer hospital stays.…”

Section: Discussionsupporting

confidence: 92%

“…The patients with post-operative adverse events showed a higher rate in less than Prior studies demonstrated that the presence of an appendicolith is associated with more severe inflammation [31] and post-operative abscess [37,38]. Our results suggest that the presence of appendicoliths had only marginal significance in univariate analysis but was not associated with post-operative adverse events in multivariate analysis.…”

Section: Discussioncontrasting

confidence: 42%

See 1 more Smart Citation

Pre-operative CT predictors associated with 30-day adverse events in patients with appendiceal inflammatory masses who underwent immediate appendectomies

Kim

et al. 2015

Abdom Imaging

View full text Add to dashboard Cite

show abstract

“…Similar to the results of previous studies [18,37], in our study, post-operative adverse events were associated with longer hospital stays.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 42%

Pre-operative CT predictors associated with 30-day adverse events in patients with appendiceal inflammatory masses who underwent immediate appendectomies

Kim

et al. 2015

Abdom Imaging

View full text Add to dashboard Cite

show abstract

“…Although non-perforated acute appendicitis can simply be treated via appendectomy, gangrenous, or perforated appendicitis can cause various complications that sometimes may result in life-threatening conditions including bacterial peritonitis, urinary disorders, small bowel obstruction, and intra-abdominal abscess formations [8,9]. Despite the increased use of sophisticated imaging and non-invasive diagnostic modalities, such as ultrasonography, computed tomography scan, and laparoscopy, the rate of misdiagnosis of appendicitis has remained constant (15 %) as has the rate of appendiceal rupture [10].…”

Section: Discussionmentioning

confidence: 99%

Hyperbilirubinemia as a predictive factor in acute appendicitis

Eren

Tombalak

Özemir

et al. 2015

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…The rate of perforated appendicitis in adults has been reported as between 17 to20% (14). Perforated appendicitis has early and long-term complications; it is known to be the main cause of postoperative morbidity and prolonged hospital stays in these patients (2, 15, 16). Morbidity following perforated appendicitis includes wound infection, bacterial peritonitis, intra-abdominal abscess formation, postoperative intestinal obstruction and prolonged ileus (10).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the diagnostic value of serum level of total bilirubin in patients with suspected acute appendicitis

Motie¹,

Nik²,

Gharaee³

2017

Electron physician

View full text Add to dashboard Cite

IntroductionClinical diagnosis of acute appendicitis still remains a problem. Delays in diagnosis of acute appendicitis may cause perforation and septic peritonitis which result in increasing morbidity and mortality. The aim of this study was to determine the sensitivity, specificity and the diagnostic value of total serum bilirubin levels as a predictor of acute appendicitis.MethodsIn this cross-sectional study, patients who underwent appendectomy with the diagnosis of acute appendicitis from April 2012 to March 2013 at Emam Reza Hospital in Mashhad (Iran) were enrolled. Serum bilirubin-Total and Direct-, were measured. Then based on the final pathologic reports, patients were categorized into five groups of normal appendix, chronic inflammatory changes, acute appendicitis, gangrenous and/or necrotic changes, and perforated appendicitis. Independent sample t-test, ANOVA, and Chi-square test were used for data analysis by SPSS version 16.ResultsThere were 174 patients studied, (117 male, 57 female) with a mean age of 27.15±0.7 years. All of the patients had rebound tenderness; 75.3% had nausea, 58.6% had anorexia and 21.3% had fever. The histological reports of all patients showed 76.4% acute appendicitis. Analyzing p-values for SGPT, SGOT, WBC was (p=0.903) and differential count was (p=0.959). The study showed no significant difference between the pathological groups. However, there were no significant differences in serum total bilirubin levels between the pathological groups. Total bilirubin showed sensitivity of 48% and specificity of 61% in the diagnosis of acute appendicitis. Total serum bilirubin more than 0.85 mg/dl was the cut-off value with the best performance for diagnosis of appendicitis.ConclusionBilirubin levels are reliable, sensitive and specific to diagnosis and a prediction of complicated appendicitis.

show abstract

The Impact of Postoperative Abscess Formation in Perforated Appendicitis

Cited by 62 publications

References 14 publications

Pre-operative CT predictors associated with 30-day adverse events in patients with appendiceal inflammatory masses who underwent immediate appendectomies

Pre-operative CT predictors associated with 30-day adverse events in patients with appendiceal inflammatory masses who underwent immediate appendectomies

Hyperbilirubinemia as a predictive factor in acute appendicitis

Evaluation of the diagnostic value of serum level of total bilirubin in patients with suspected acute appendicitis

Contact Info

Product

Resources

About