BACKGROUND In order to determine reliable clues for early diagnosis of acute appendicitis, this study was conducted to examine the related factors in patients with clinically suspected acute appendicitis. METHODS We retrospectively analyzed 282 patients with the clinical diagnosis of acute appendicitis at China Medical College Hospital in Taiwan from January to December 2000. To study the sig...

BACKGROUND Acute appendicitis is a surgical emergency in which the appendix is surgically removed to prevent peritonitis due to perforation of the appendix. Depending on age and gender, up to 17% of removed appendices do not show the histopathological changes pathognomonic for acute appendicitis and are called 'pseudo-appendicitis'. Intestinal spirochaetes have been reported in up to 12.3% of t...

Background: Acute appendicitis after colonoscopy is a rare sequela and may be incidental or a true complication of colonoscopy. This review explores the cause and effect relationships between colonoscopy and the development of acute appendicitis. Methods: We conducted a systematic review of the literature to identify articles up to July 2011. The following time intervals were collated from docu...

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 unde...

abstract background: acute appendicitis is the most common cause of acute surgical abdomen. inspite of the introduction of ultrasonography, computed tomography scanning and laparoscopy in the years 1987-1997 the difficulty in accurate diagnosis of acute appendicitis has remained the same. our way of reaching a decision for operating in a patient suspected of having acute appendicitis (which wil...

We assessed the value of measuring serotonin (5-hydroxytryptamine) in plasma (by HPLC) in the diagnosis of acute appendicitis. Values for patients with subsequently confirmed appendicitis (11-145 nmol/L, median 70 nmol/L) significantly (P congruent to 0.005) exceeded those for patients with abdominal pain in whom appendicitis was only a possible diagnosis (2-45 nmol/L, median 20 nmol/L). The re...

BACKGROUND Diagnostic scoring is used to stratify patients with suspected appendicitis into three groups: high, intermediate, and low probability of appendicitis. The stratification can be used for selective imaging to avoid the harms of radiation without compromising diagnostic accuracy. The aim was to study how stratification by Adult Appendicitis Score affects diagnostic performance of imagi...

OBJECTIVES Acute appendicitis is a common surgical condition which can lead to severe complications. Recent work suggested that patients experiencing right lower abdominal pain, with normal white cell count (WCC) and C-reactive protein (CRP) are unlikely to have acute appendicitis and can be discharged. We present two independent data-sets that suggest that this strategy may not be risk-free. ...

SUMMARY Identification of complicated appendicitis (CA) is critical to the management of appendicitis. However, previous studies have not investigated indicators of CA among patients with HIV or whether it is safe to use conservative treatment for appendicitis in these patients. Among 322 patients with appendicitis, we identified 14 who had HIV. Six of them were operated and 8 were treated with...

background: acute appendicitis is one of the common and urgent illnesses among children.  children usually are unable to help the physicians completely due to weakness in describing the medical history. moreover, acute appendicitis overlaps with conditions of other diseases in terms of symptoms and signs in the first hours of presentation. these conditions lead to unwanted biases as well as err...