Background: Acute appendicitis is one of the most common abdominal urgent/emergent conditions worldwide and can occur at every age. It can be simple, in many cases treated conservatively, or complicated which require a surgical intervention. Sometimes is present peritonitis or abscesses which can deal to the creation of laparostomy (in order to oversee bowel inflammation). Diagnosis can be diff...

Introduction. De Garengeot first described a femoral hernia containing the appendix in 1731. Appendicitis occurring in this rare clinical setting represents a challenge in diagnosis and management. Case Presentation. We present the case of a 71-year-old male with a three-day history of a nontender inguinal mass. Computed tomography (CT) suggested a femoral hernia. Intraoperatively, the hernia s...

Appendicectomy is one of the commonest emergency operations performed worldwide. In cases of perforated appendicitis, the prevalence of post-operative abscess formation is up to 20 per cent (1). Most cases can be managed with drainage and antibiotics. However, a minority of these will leave a retained appendicolith. We present a case of a 17 year old female patient who presented 1 year after la...

HYPOTHESIS The morbidity following treatment for perforated appendicitis in children is significant, with intra-abdominal abscess being one of the more serious complications. This can lead to prolonged hospitalizations and antibiotic administration, multiple computed tomographic scans, and invasive procedures. The purpose of our study was to determine risk factors for developing an intra-abdomi...

OBJECTIVE To determine the role of laparoscopy in diagnosis and surgical treatment of perforated Meckel's diverticulum (MD) in adults. METHODS Between July 2003 and July 2011, fifteen patients were seen with perforated MD. Eleven were male and four were female. The median age was 38 years (range, 21-68). All patients presented with a sudden onset of pain. Among them 9 had a past medical histo...

BACKGROUND Abdominal aortic mural thrombus is uncommon in the absence of aneurysm or atherosclerosis. CASE REPORT We report the case of a 46-year-old man who presented to our institution with perforated appendicitis for which he initially declined surgery. Four days after admission he ultimately consented to appendectomy and abdominal washout. Follow-up imaging to evaluate for intra-abdominal...

Objectives: The aim of this retrospective study was to clarify whether plasma markers that are routinely used in the workup of patients suspected for acute appendicitis (AA) can stratify for imaging in both adults and children. Methods: A total of 1388 patients suspected of AA between January 2008 and till 2012 were included. CRP and WBC concentrations were retrospectively abstracted from the e...

Appendicitis, being one of the most common surgical problems, is often diagnosed clinically. The typical clinical sign elicited from a patient suffering acute or perforated appendicitis includes: Rebound tenderness, Rovsing sign, Obturator Psoas and tenderness over right iliac fossa. Cholecystitis, another problem, typically presents with hypochondrium, associated this condition positive Murphy...

BACKGROUND We sought to determine the origin of free intraperitoneal air in this era of diminishing prevalence of peptic ulcer disease and imaging studies. In addition, we attempted to stratify the origin of free air by the size of the air collection. METHODS We queried our hospital database for "pneumoperitoneum" from 2005 to 2007 and for proven gastrointestinal perforation from 2000 to 2007...

Objective: To determine the frequency of perforated appendicitis among patients subjected to appendectomy for acute appendicitis.
 Methodology: A cross-sectional research was performed at Department Surgery, Bolan Medical College, Quetta between June 2019 March 2021. In this study a total 195 were observed. All detailed history and examination. Standard preoperative procedures adopted. Dat...