AIM To investigate the epidemiology, treatment and outcomes of acute appendicitis (AA) in a large population study. METHODS This is a retrospective cohort study derived from the administrative dataset of the Bergamo district healthcare system (more than 1 million inhabitants) from 1997 to 2013. Data about treatment, surgery, length of stay were collected. Moreover for each patients were regis...

BACKGROUND: Acute appendicitis is the most common emergency surgical case, leading to further complications if not treated immediately. Limited diagnostics infrastructure an obstacle in developing countries, especially regions. Therefore, alternatives such as clinical scoring systems are required assist diagnosis. AIM: This study aimed compare use of RIPASA and Labeda scores assess severity acu...

Introduction Appendicitis is the most common intraabdominal disorder that requires emergency surgery, with a 6% lifetime risk. At the end of 20th Century, appendicitis still remains a clinical entity and an ongoing diagnostic dilemma as the presentation may be atypical. Recent literature reports rates of normal appendix removal ranging from 9% to 40%. These results are not different from earlie...

Background: Laparoscopy is not an accepted procedure for complicated appendicitis in children for most pediatric surgeons. This procedure is associated with a higher incidence of postoperative abdominal abscess reported in some studies. Objectives: In this study, we investigated the security, efficacy and complications of laparoscopy in children with complicated appendicitis in Mofid Children's...

Complicated small-bowel diverticulosis is a rather uncommon cause of upper abdominal pain. It may lead to symptoms presenting with an acute onset or to chronic and nonspecific complaints. As the presentation is often similar to other pathologies (acute appendicitis, pancreatitis, or acute cholecystis) and in many cases diagnosis is made on basis of surgical findings, careful analysis of the ima...

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...

Acute appendicitis (AA) is a common occurrence in the practice of an Emergency Surgery Unit (ESU) and the most common indication for emergency abdominal surgery with an estimated lifetime prevalence ranging around 10% (1-3). The conventional, laparotomic approach is still accepted, as reported in some studies based on surgical expertise (4). Many studies suggest that the laparoscopic approach f...

  Background :Delay in diagnosis and treatment of acute appendicitis (AA) results in an increased rate of perforation, postoperative morbidity, mortality and hospital length of stay. Several biochemical parameters including white blood cell (WBC) count, C-reactive protein (CRP), interleukin-6 (IL6) and Procalcitonin (PCT) have been used to further improve the clinical diagnosis of AA. The aim o...

Chronic complications of acute appendicitis managed in a conservative manner are not frequent. We present a case of acute lower gastrointestinal hemorrhage in a young patient with a previous acute appendicitis without surgical intervention. The colonoscopy detected an appendicular bleeding which was surgically treated. The anatomopathological diagnosis was granulomatous appendicitis. The clinic...