OBJECTIVE To audit the appendectomies at our institute, and summarise atypical pathological results with a discussion of appropriate management. DESIGN. Retrospective study. SETTING Regional hospital, Hong Kong. PATIENTS All patients who underwent appendectomy for presumed acute appendicitis from June 2003 to June 2008 were recruited. Incidental appendectomy was excluded. Patient demographi...

Acute appendicitis is one of the frequently seen emergencies in the pediatric hospitals. Nevertheless, its diagnosis and management is often challenging in infants and neonates. The diagnosis is frequently made at operation performed for the complications [1-3]. We encountered a similar situation in a 2-month-old infant in whom the perforated appendicitis presented with small bowel obstruction.

INTRODUCTION Although appendicitis is a common disease, appendicitis concurrent with liver abscesses and sessile serrated adenoma/polyp (SSA/P) is rare. PRESENTATION OF CASE A 69-year-old man presented with symptoms of abdominal pain and fever. Computed tomography (CT) revealed multiple liver abscesses and an enlarged appendix with a pseudotumoral appearance, which suggested acute appendiciti...

Appendicitis in the elderly is becoming an increasingly frequent clinical encounter due to the increased life expectancy in the human race over the last half-century. Appendicitis in this age group has, therefore, become relatively more common with an atypical presentation that incurs delay in diagnosis with attendant morbidity and mortality. We present a septuagenarian who presented atypically...

OBJECTIVE We evaluated the outcomes of routine laparoscopy and laparoscopic appendectomy (LA) in patients with suspected appendicitis. This is a retrospective study of the outcomes of patients undergoing laparoscopic appendectomy compared with outcomes for patients undergoing open appendectomy (OA) during the time that LA came into use. METHOD Results of patients managed with routine laparosc...

BACKGROUND A villous adenoma is an extremely rare benign tumour in the appendix, in contrast to other benign appendiceal lesions. The clinical features are usually asymptomatic. Acute appendicitis is the most common complication with the lesion obstructing the orifice of the appendiceal lumen. Thus, a villous adenoma is usually found during surgical intervention for acute appendicitis. Mechanic...

OBJECTIVE Altered pain sensitivity may affect the outcome of appendicitis in patients with schizophrenia. We aimed to compare the prevalence of perforation in appendicitis between patients with and without schizophrenia. DESIGN Retrospective cohort study with random matching. SETTING A single tertiary medical centre in Japan. PARTICIPANTS From 1985 to 2013, 1821 cases of appendicitis requ...

Acute appendicitis is the most common cause of the acute abdomen requiring surgery with life time risk of ~7% which is maximal in childhood and declines steadily with age as the lymphoid tissue and vascularity atrophy [1,2]. Surgery for the acute abdomen caused by Appendicitis only evolved when the mortality associated with perforated appendicitis was found to be high. Conservative treatment wi...

Background The certainty of diagnosing acute appendicitis in patients presenting with right iliac fossa pain still remains a mystery though acute appendicitis being the commonest surgical procedure done in emergency. In acute appendicitis, serum bilirubin levels are raised due to hepatocellular damage as a result of direct insult caused by Gram-negative bacterial endotoxemia. The need for the s...