To cite: Zachariah SK. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014208544 DESCRIPTION A 58-year-old woman presented with acute abdominal pain and vomiting of 3 days duration. She had undergone laparotomy for appendicular perforation 25 years earlier. She had recurrent episodes of abdominal pain for the past 5 years and was being treated as a case of adhesi...

BACKGROUND The diagnosis of appendicitis remains challenging in children. Delays in diagnosis, or misdiagnosis, have important medical and legal implications. The typical, or classic, presentation of pediatric appendicitis has been modeled after adult disease; however, many children present atypically with subtle findings or unusual signs. OBJECTIVES To determine the frequency of atypical cli...

INTRODUCTION Shear wave elastography (SWE) has not been studied for diagnosing appendicitis. We postulated that an inflamed appendix would become stiffer than a normal appendix. We evaluated the elastic modulus values (EMV) by SWE in healthy volunteers, patients without appendicitis, and patients with appendicitis. We also evaluated diagnostic ability of SWE for differentiating an inflamed from...

BACKGROUND Acute appendicitis is the most common cause of abdominal surgery in children. Adjuncts are used to help clinicians predict acute or perforated appendicitis, which may affect treatment decisions. Automated hematologic analyzers can perform more accurate automated differentials including immature granulocyte percentages (IG%). Elevated IG% has demonstrated improved accuracy for predict...

Background: The preoperative diagnosis of acute appendic i t i s i s of ten inaccurate i n pregnant women, and complicated appendicitis is associated with a high rate of fetal loss. Objective: Our purpose was to elicit a better understanding of the presentation of acute appendicitis in pregnancy and to clarify diagnostic dilemmas reported in the literature. Study design: We retrospectively revi...

Acute appendicitis is the most common surgical emergency of the abdomen. Right lower quadrant abdominal pain is a common complaint, and many other infectious gastrointestinal pathologies may mimic acute appendicitis. The diagnosis of acute appendicitis is sometimes difficult, and misdiagnoses occur, even though the symptoms and signs of appendicitis are well known in the world. Accurate and qui...

INTRODUCTION Clinical 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. METHODS In thi...

INTRODUCTION Diagnostic values reported for ultrasonographic screening of acute appendicitis vary widely and are dependent on the operator's skill, patient's gender, weight, etc. The present study aimed to evaluate the effect of operator skill on the diagnostic accuracy of ultrasonography in detection of appendicitis by comparing the results of ultrasonography done by radiologists and emergency...

PURPOSE The aim of this study was to seek whether red cell distribution width (RDW) has a role in the diagnosis of acute appendicitis. It was also aimed to show the relationship of RDW with leukocyte count and C-reactive protein (CRP) level. METHODS This study was conducted via retrospective assessment of the hospital records of the adult patients who were operated for acute appendicitis betw...

Objective: Appetite loss is seen in 90% to 95% of patients with acute appendicitis; however, the cause of this symptom remains unknown. This study is performed to determine whether changes in the blood levels of two anorexigenic hormones, leptin and NUCB2/nesfatin-1, can help to diagnose acute appendicitis in children and whether these two parameters can distinguish acute appendicitis from abdo...