Applying the Pediatric Appendicitis Score to predict complicated appendicitis in children

2021 ◽  
Author(s):  
Takayuki Fujii ◽  
Aya Tanaka ◽  
Hiroto Katami ◽  
Ryuichi Shimono
Keyword(s):  
Complicated Appendicitis ◽  
Appendicitis Score

scholarly journals Usefulness of the Pediatric Appendicitis Score and Neutrophil to Lymphocyte Ratio for Assessing the Complicated Appendicitis in Children

2020 ◽  
Vol 10 (04) ◽  
pp. 93-103
Author(s):  
Erdenetsetseg Chuluun ◽  
Bayartsetseg Ankhbayar ◽  
Ganbayar Ganzorig ◽  
Ganbayar Luuzan ◽  
Davaalkham Dambadarjaa ◽  
...  
Keyword(s):  
Complicated Appendicitis ◽  
Neutrophil To Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Appendicitis Score

Superior Mesenteric Venous (SMV) Thrombosis Accompanied with Appendicitis in a Patient with Primary Diagnosis of Typhoid Fever

2020 ◽  
Vol 20 ◽  
Author(s):  
Alireza Adibimehr ◽  
SeyedAhmad SeyedAlinaghi ◽  
Anahid Nourian ◽  
Zeinab Mehrabi ◽  
Rohollah Moslemi
Keyword(s):  
Typhoid Fever ◽  
Positive Culture ◽  
Primary Diagnosis ◽  
Complicated Appendicitis ◽  
Contaminated Water ◽  
Septic Thrombophlebitis ◽  
Rebound Tenderness ◽  
Perforated Appendix ◽  
History Of ◽  
Vague Abdominal Pain

: Septic thrombophlebitis of the Superior Mesenteric Venous (SMV) is rarely accompanied by appendicitis, and symptoms are atypical, so the diagnosis is commonly delayed, resulting in it is associated with high mortality. We report a case of neglected SMV septic thrombophlebitis is caused by appendicitis. The patient represented with fever, vague abdominal pain without rebound tenderness, and history of the consumption of contaminated water. Antibiotic initiated due to suspicious typhoid fever. Then typhoid fever was ruled out. Computed tomography (CT) scans revealed micro-abscess forming complicated appendicitis and the thrombus in SMV. The patient underwent a laparoscopic appendectomy, during which retrocecal gangrened perforated appendix with a 2×2 cm abscess was drained. Based on positive culture with ESBL organism meropenem was initiated. Appendectomy and treatment with broad-spectrum antibiotics and anticoagulation led to a full recovery.

Evaluation of preoperative clinical and serological determinations in complicated acute appendicitis: A score for predicting complicated appendicitis

2021 ◽  
Author(s):  
Cristina García-Amador ◽  
Vladimir Arteaga Peralta ◽  
Roberto de la Plaza Llamas ◽  
Miguel Torralba ◽  
Anibal Medina Velasco ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Complicated Appendicitis ◽  
Complicated Acute Appendicitis

scholarly journals Diverticular Disease of the Appendix Is Associated with Complicated Appendicitis

2020 ◽  
pp. 1-7
Author(s):  
Ming Li Chia ◽  
Shaun Wen Yang Chan ◽  
Vishal G. Shelat
Keyword(s):  
Diverticular Disease ◽  
Clinical Pathology ◽  
Vermiform Appendix ◽  
Complicated Appendicitis ◽  
Perioperative Outcomes ◽  
Alvarado Score ◽  
Single Center Experience ◽  
Modified Alvarado Score ◽  
Qsofa Score ◽  
Sirs Criteria

<b><i>Introduction:</i></b> Diverticular disease of the vermiform appendix (DDA) has an incidence of 0.004 to 2.1% in appendicectomy specimens. DDA is variably associated with perforation and malignancy. We report a single-center experience of DDA. The primary aim is to validate the association of DDA with complicated appendicitis or malignancy, and the secondary aim is to validate systemic inflammatory response syndrome (SIRS) criteria and quick Sepsis-related Organ Failure Assessment (qSOFA) scores. <b><i>Methods:</i></b> The histopathology reports of 2,305 appendicectomy specimens from January 2011 to December 2015 were reviewed. Acute appendicitis was found in 2,164 (93.9%) specimens. Histology of the remaining 141 (6.1%) patients revealed: normal appendix (<i>n</i> = 110), DDA (<i>n</i> = 22), endometriosis of appendix (<i>n</i> = 6), and an absent appendix (<i>n</i> = 3). Patient demographics, clinical profile, operative data, and perioperative outcomes of DDA patients are studied. Modified Alvarado score, Andersson score, SIRS criteria, and qSOFA scores were retrospectively calculated. <b><i>Results:</i></b> The incidence of DDA was 0.95%. Ten patients (45.5%) had diverticulitis. The mean age of DDA patients was 39.5 years (range 23–87), with male preponderance (<i>n</i> = 12, 54.5%). The median Modified Alvarado score was 8 (range 4–9), and the median Andersson score was 5 (range 2–8). Fourteen patients (63.6%) had SIRS, and none had a high qSOFA score. Eight patients (36.4%) had complicated appendicitis (perforation [<i>n</i> = 2] or abscess [<i>n</i> = 6]). Eleven (50%) patients underwent laparoscopic appendicectomy. There were three 30-day readmissions and no mortality. <b><i>Conclusion:</i></b> DDA is a distinct clinical pathology associated with complicated appendicitis.

Association of Neighborhood Socioeconomic Disadvantage With Complicated Appendicitis in Children

2021 ◽  
Vol 265 ◽  
pp. 245-251
Author(s):  
Catherine Bodnar ◽  
Radek Buss ◽  
Kimberly Somers ◽  
Ali Mokdad ◽  
Kyle J. Van Arendonk
Keyword(s):  
Complicated Appendicitis ◽  
Socioeconomic Disadvantage

Safety and efficacy of short-course intravenous antibiotics after complicated appendicitis in selected patients

2021 ◽  
pp. 1-5
Author(s):  
Hidde M. Kroon ◽  
Tim Kenyon-Smith ◽  
Gavin Nair ◽  
James Virgin ◽  
Bev Thomas ◽  
...  
Keyword(s):  
Complicated Appendicitis ◽  
Safety And Efficacy ◽  
Short Course ◽  
Intravenous Antibiotics

Pediatric Appendicitis Score-Based Protocol Decreases CT Scan Use When Evaluating Children in a Community Hospital

2019 ◽  
Vol 229 (4) ◽  
pp. e170-e171
Author(s):  
Frieda M. Hulka ◽  
Bryn Morris ◽  
Paige Elliott ◽  
Bogna Targonska
Keyword(s):  
Ct Scan ◽  
Community Hospital ◽  
Appendicitis Score

scholarly journals Antibiotic Duration After Laparoscopic Appendectomy for Acute Complicated Appendicitis

JAMA Surgery ◽  
2016 ◽  
Vol 151 (4) ◽  
pp. 323 ◽  
Author(s):  
Charles C. van Rossem ◽  
Marc H. F. Schreinemacher ◽  
Anna A. W. van Geloven ◽  
Willem A. Bemelman ◽  
Keyword(s):  
Laparoscopic Appendectomy ◽  
Complicated Appendicitis ◽  
Antibiotic Duration
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