Discriminating Between Simple and Perforated Appendicitis

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Discriminating between simple and perforated appendicitis.

BACKGROUND Several studies have been performed in order to diagnose an acute appendicitis using history taking and laboratory investigations. The aim of this study was to create a model for the identification of a perforated appendicitis. METHODS All consecutive patients who have undergone an appendectomy in the Reinier de Graaf hospital between January 1, 2007 and July 31, 2009, were include...

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Comparison of pre-operative bilirubin level in simple appendicitis and perforated appendicitis

  Background: Delay in diagnosis and treatment of perforated appendicitis may cause life-threatening complications. The aim of this study was to determine and compare pre-operative total and direct bilirubin levels in cases of simple and perforated acute appendicitis in order to improve the clinical decision making.   Methods: This prospective observational study included eighty patients who ...

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Perforated appendicitis vs non-perforated appendicitis.

Of 156 patients with acute appendicitis, seen during 24 months, 21 had perforated. Age over 30 years especially in males, duration of symptoms over 48 hours, pulse rate on admission exceeding 100/ minute, generalised abdominal tenderness, leucocyte count in excess of 10,000 mm3 and a neutrophilia in excess of 70 percent, characterized patients with appendicular perforation. The rate of complica...

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Different urinalysis appearances in children with simple and perforated appendicitis.

PURPOSE This study aimed to determine whether routine urinalysis may serve as a tool in discriminating between acute appendicitis and perforated appendicitis in children. BASIC PROCEDURES We prospectively collected 357 patients with clinically suspected acute appendicitis. Urinalysis was performed in patients with clinically suspected acute appendicitis before surgical intervention. Routine u...

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Comparison of pre-operative bilirubin level in simple appendicitis and perforated appendicitis

BACKGROUND Delay in diagnosis and treatment of perforated appendicitis may cause life-threatening complications.The aim of this study was to determine and compare pre-operative total and direct bilirubin levels incases of simple and perforated acute appendicitis in order to improve the clinical decision making. METHODS This prospective observational study included eighty patients who underwen...

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ژورنال

عنوان ژورنال: Journal of Surgical Research

سال: 2012

ISSN: 0022-4804

DOI: 10.1016/j.jss.2011.09.049