39 - Appendicitis
نویسندگان
چکیده
The appendix is a tubular structure that arises from the cecum and consists primarily of smooth muscle and an abundance of lymphoid tissue. The average adult appendix can reach a length of 10 cm with a luminal width of 6 to 7 mm. Innerva tion from sympathetic and vagus nerves accounts for referred pain to the umbilicus when inflammatory changes are present. The location of the appendix (retrocecal, 65%; pelvic, 31%; subcecal, 2%) determines the clinical findings and risk for the development of perforated appendicitis.
منابع مشابه
Evaluation of Children's Appendicitis Score Compared With Pediatric Appendicitis Score in Diagnosis of Pediatric Appendicitis
Introduction: Identification and promotion of diagnostic methods has been a continuous effort to reduce disease and its complications and reduce costs associated with treatment. Despite all these efforts and improving our knowledge of diseases and diagnostic tools, pediatric appendicitis remains part of the diagnostic challenge in the surgical field. The aim of this is to compare the two diagno...
متن کاملRole of CT scan in diagnosis of acute appendicitis
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...
متن کاملAssociation between Gastroesophageal Reflux Disease and Appendicitis: A Population-Based Case-Control Study
Appendicitis and gastroesophageal reflux disease (GERD) are both prevalent diseases and might share similar pathological mechanisms. The aim of this study was to investigate the association between GERD and appendicitis using a large population-based dataset. This study used administrative claims data from the Taiwan Longitudinal Health Insurance Database 2005. We identified 7113 patients with ...
متن کاملRole of clinical judgment and tissue harmonic imaging ultrasonography in diagnosis of paediatric acute appendicitis
BACKGROUND Appendicitis is the most common surgical emergency in children; yet, diagnosis of equivocal presentations continues to challenge clinicians. AIM The objective of this study was to investigate the hypothesis that the use of a modified clinical practice and harmonic ultrasonographic grading scores (MCPGS) may improve the accuracy in diagnosing acute appendicitis in the pediatric popu...
متن کاملRetrospective Analysis of Emergency Department Ultrasound for Acute Appendicitis
OBJECTIVES To determine whether emergency physicians (EPs) who have skills in the other applications of ultrasound can apply these in appendicitis diagnosis. METHODS EPs did not have focused training in bedside ultrasound for appendicitis. We identified patients receiving an ED bedside ultrasound evaluation for appendicitis from our ultrasound log. Criterion reference was radiology ultrasound...
متن کاملSafety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomised controlled trials
OBJECTIVE To compare the safety and efficacy of antibiotic treatment versus appendicectomy for the primary treatment of uncomplicated acute appendicitis. DESIGN Meta-analysis of randomised controlled trials. POPULATION Randomised controlled trials of adult patients presenting with uncomplicated acute appendicitis, diagnosed by haematological and radiological investigations. INTERVENTIONS ...
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