Appendicitis in the elderly is a pathological process. It is common in many locales, populations and cultures. It is a potentially life threatening pathology. Lifetime incidence is 1 in every 15 persons (7%) with a prevalence rate of ten in one hundred thousand people (10/100,000) (Condon RE, 1986). Appendicitis usually affects people who are previously healthy. The rate of appendicitis among t...

Appendicitis is the most common disease leading to emergency abdominal surgery in children [1]. Epidemiological studies indicate that approximately 12% of males and 23% of females undergo emergency appendectomy during their lifetime, while the true lifetime risk of developing appendicitis is only 9% and 7% for men and women, respectively [2]. Appendicitis is most common in patients aged 10-19 y...

Acute appendicitis represents the most common non-obstetric indication for surgical intervention in pregnant women, with a reported incidence of 1 in 1440 pregnancies. Stump appendicitis is a rare clinical situation when there is incomplete appendectomy. A rare case occurred of stump appendicitis and chorioamnionitis complicating after incomplete appendectomy. In this way the literature review ...

Objective: To evaluate the diagnostic accuracy of the spiral-CT in patients with clinically suspected acute appendicitis. Material and Methods: A total of 124 patients referred for CT scan with suspected appendicitis between January 2005 and October 2006 were assessed for the appendiceal size and the presence of signs of appendicitis. The findings were correlated with surgical histopathology. R...

Idiopathic segmental infarction of the greater omentum is an uncommon cause of acute abdomen. The etiology is still unclear and the symptoms mimic acute appendicitis. Its presentation simultaneously with acute appendicitis is still more infrequent. We present a case of a 47-year old woman without significant previous medical history, admitted with an acute abdomen, in which the clinical diagnos...

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...

OBJECTIVES To compare the contributions of patients, emergency physicians, and surgeons in the delay of diagnosis and treatment of appendicitis, and the effects of delay on disease stage and complication rate. DESIGN Retrospective study. SETTING Accident and emergency department of a district public hospital, Hong Kong. PATIENTS All patients undergoing emergency appendectomy between Augus...

OBJECTIVE To study the local expression of the proinflammatory cytokine such as interferon gamma and anti-inflammatory cytokine like interleukin-10 (IL-10) and their role in cell adhesion molecules (CAM) expression on the surface of endothelial cell at the site of inflammation in acute appendicitis. The local expression of these cytokines and CAM was correlated with clinical findings to shed li...

BACKGROUND Computed tomography (CT) has largely become standard of care for diagnosing appendicitis at the expense of increased patient radiation exposure, cost, and time to surgical intervention. To date, there are very limited data on the accuracy of bedside ultrasound (BUS) for the diagnosis of appendicitis in adults. OBJECTIVE The objective of this study is to evaluate test characteristic...

INTRODUCTION By processing the data of a large number of patients with abdominal pain, diagnostic scores whose implementation attempts to facilitate acute appendicitis diagnostics were developed. Modified Alvarado score, Ohmann score and Eskelinen score are used as assistance when setting the diagnosis and making a decision to undertake surgery. AIM To assess accuracy of Alvarado score, Ohman...