Acute Eosinophilic Appendicitis: A Rare Cause of Lower Gastrointestinal Hemorrhage

Ahn, So Ra; Lee, Joo Hyun

doi:10.4166/kjg.2021.063

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Elderly patients with symptoms of acute appendicitis can harbor an underlying malignancy of the cecum or appendix, so it must be kept at the top of the differential diagnoses. As distinguishing appendicitis from colon cancer in elderly patients by symptoms or imaging may be challenging, a postoperative colonoscopy should be performed to exclude cancer [ 19 ]. Moreover, they may have a delayed recovery with prolonged hospital stays due to their concomitant diseases and reduced physiological reserve.…”

Section: Discussionmentioning

confidence: 99%

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease

Almusaylim,

Foula,

Al Amin

et al. 2024

Cureus

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Appendicitis, an inflammation of the vermiform appendix, is one of the most common causes of acute abdomen and one of the most frequent indications for emergency abdominal surgery worldwide. Any person older than 65 years old is considered elderly. The elderly population constitutes only 5-10% of total appendicitis cases. The symptoms depend on the location of the appendix. Generally, lower abdominal pain and anorexia are known to be the most common symptoms of appendicitis. Although young adults have a higher prevalence of appendicitis, the elderly have a higher complication rate, 37.5% versus 43.97%. In this article, we report a case of appendicitis in an 86-year-old gentleman known to have type 2 diabetes mellitus, hypertension, and prostate cancer. The patient was managed successfully after a complicated hospital course and discharged in an improved and stable condition.

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Section: Discussionmentioning

confidence: 99%

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease

Almusaylim,

Foula,

Al Amin

et al. 2024

Cureus

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“…Eosinophils are normal constituents of the appendix in the lamina propria and submucosa, but not in the muscularis propria. Finding of a pure eosinophil infiltrate amidst inflammatory edema in the muscle layer makes one suspect allergy as a cause for the acute onset disease (Ahn and Lee, 2021).…”

Section: Introductionmentioning

confidence: 99%

Demonstration of tissue and peripheral blood eosinophils in patients with acute appendicitis

2023

ZJPAS

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Acute appendicitis (AA) is the most surgical emergencies. Clinical diagnosis is usually confirmed by adjuvant laboratory testing but histopathology is the gold standard for diagnosis. Acute eosinophilic appendicitis (AEA) is a rare form of appendicitis with muscularis propria infiltration and muscle fiber edema. This study was aimed to find simple and accurate way for the diagnosis of unusual eosinophilic appendicitis that may requires postoperative special treatment. A prospective investigation was conducted at Shahid Dr. Khalid Teaching Hospital in (Koya city/ Kurdistan Region/ Iraq), This involves randomly selecting fifty appendectomy samples from emergency department patients from November 2021 to May 2022. Acute appendicitis is suspected in these patients based on their medical history, physical examination, investigation, and abdominal ultrasound. The patients were 28 (56% males) and 22 (44% females). Patients ranged in age from 4 to 43 years, with a mean of 20.98 years, and The majority of cases (60%) are under 20. A significant gradual (increase in weight and decrease in dimensions) of appendix with different age group was seen. Theoretical and actual means of CBC parameters differed significantly, although there was no significant sex difference. Tissue and peripheral blood eosinophil counts were directly correlated (P < 0.01), although there was a negative correlation between tissue and WBC count (P<0.0019). Congo red was statistically highly significant (P< 0.0001) in detecting tissue eosinophils compared to MGG and H&E. In conclusion, Congo red better than H&E and MGG staining for identifying tissue eosinophils, also tissue and peripheral blood eosinophils were positively correlated.

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Eosinophilic appendicitis: an insidious and fortuitous diagnosis

Llera,

Hanna,

Jureller

2024

Journal of Surgical Case Reports

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Eosinophilic appendicitis is a rare inflammatory condition characterized by the infiltration of eosinophils into the appendix, which is often misdiagnosed as acute appendicitis given similarities in their clinical presentation. Acute eosinophilic appendicitis: a rare cause of lower gastrointestinal hemorrhage. Within this particular report, we present a case of eosinophilic appendicitis in a 42-year-old female who underwent a laparoscopic appendectomy. The purpose of this report is to increase awareness about this unique condition and emphasize the importance of considering eosinophilic appendicitis as a differential diagnosis in patients with appendicitis-like symptoms whose clinical examination and laboratory findings may suggest otherwise.

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Acute Eosinophilic Appendicitis: A Rare Cause of Lower Gastrointestinal Hemorrhage

Cited by 3 publications

References 14 publications

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease

Demonstration of tissue and peripheral blood eosinophils in patients with acute appendicitis

Eosinophilic appendicitis: an insidious and fortuitous diagnosis

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