PURPOSE Management of appendicitis in children has always been an issue in pediatric surgery. Both diagnostic methods and treatment vary significantly among medical centers, and little consensus exists in many aspects of the care for patients with appendicitis. Here, we assessed the value of drain insertion after appendectomy in children. METHODS This study is a retrospective review of pediat...

Discussions regarding the correlations between elevated white blood cell levels and clinical and pathological stages of acute appendicitis are well known. Recent studies show that a high level of serum bilirubin could emerge as a prognostic marker for gangrenous or perforated stages of acute appendicitis. We studied the correlations between anatomical and pathological stages of acute appendicit...

Ingested foreign bodies tend to pass through the gastrointestinal tract without incidence, and vast majority of cases do not need intervention. Rarely, these foreign bodies drop into the appendix and not likely to re-enter the normal digestive tract. We describe a case of a 72-year-old male patient who presented with right iliac fossa pain of 3-day duration. Clinical examination suggested class...

BACKGROUND THE AIMS OF THE STUDY WERE: 1) to establish the role of hyperbilirubinemia as a new diagnostic tool to predict gangrenous/perforated appendicitis; and 2) to compare other variables such as age, duration of symptoms, clinical profile, white blood cell count, C-reactive protein and ultrasound in a similar role. METHODS This is a prospective study conducted on 50 consecutive cases of ...

BACKGROUND The role of free oxygen radicals in inflammatory conditions is well known. Free radicals cause lipid peroxidation of cellular membranes resulting in cell death. The purpose of this study was to investigate the levels of total anti-oxidant status (TAS), as a marker of anti-oxidant defense system and malondialdehyde (MDA), as a marker of oxidative stress, in the plasma of patients with...

Appendicitis is the most common cause of acute surgical abdomen in children and adults but very rare in infants and neonates. Nonspecific clinical features and low index of suspicion make its diagnosis and management challenging which may result in high chances of complications like perforation and peritonitis thus increasing the morbidity and mortality. Appendicular perforation leading to peri...

o b jective: to evaluate the accuracy of surgeons’ intraoperative diagnosis in open appendectomy and compare it with the histopathology examination results afterwards. m ethods: this was a cross-sectional retrospective study accomplished in namazee hospital affiliated with shiraz university of medical sciences, in a one-year period from 2007 to 2008. medical charts of all the patients who were ...

Endometriosis is a common disease in women of childbearing age and is defined as the presence of endometrial glands and stroma in organs outside of the uterine cavity. Appendiceal endometriosis is very uncommon and accounts for a small fraction of all cases of extrapelvic endometriosis. Cases of that which occur during pregnancy are extremely rare with an incidence that ranges between 3 and 8 d...

BACKGROUND Acute appendicitis is a rare complication of colonoscopy that has been reported only 12 times in the English-language literature and is usually associated with obstruction of the appendiceal lumen with fecal matter during colonoscopy. None of the previous reports have described findings of perforation of the appendix within 24 hours of colonoscopy. METHODS We present the case repor...

acute appendicitis is the most common condidition, requiring emergency operation in children. late appendicitis is still a major sours of morbidity and potential mortality. the charts of all pediatric appendectomy patients (150 cases) treated between 1367-1373 (iranian calender) in amir kabir medical center were reviewed. mean hospital stay was 4.7 days. mean ages of patients was 8.5 years. mal...