Acute urinary retention in a 9-year-old child: An atypical presentation of acute appendicitis

Place, Rick

doi:10.1016/j.jemermed.2005.10.002

Cited by 7 publications

(3 citation statements)

References 17 publications

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“…En cuanto a la exploración física, es importante la palpación abdominal buscando la presencia de globo vesical (que nos define la retención urinaria) o de masas (fecaloma, tumores…), así como la exploración de los genitales externos, el tacto rectal y la exploración neurológica, especialmente en relación con la médula espinal baja 3 .…”

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Síntomas genitourinarios en la apendicitis aguda

Moya

Gómez²,

Sánchez

2013

Rev Pediatr Aten Primaria

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Genitourinary symptoms in acute apendicitisLa apendicitis aguda es la urgencia quirúrgica más frecuente en Pediatría. En la mayoría de las ocasiones, una adecuada anamnesis y una exploración física exhaustiva permiten sospecharla con facilidad, debido a lo típico de su presentación. Sin embargo, en algunas ocasiones la presencia síntomas y signos inusuales como manifestación principal, por ejemplo los relacionados con el aparato genitourinario, pueden retrasar el diagnóstico y dar lugar a la aparición de complicaciones. Presentamos el caso de un niño de 13 años en el que la presentación atípica de apendicitis aguda llevó a un tratamiento inicial inadecuado y a un retraso en el diagnóstico.Acute appendicitis is the most common surgical emergency in children. In most cases an adequate medical history and physical examination allows an easy diagnosis. However, sometimes the presence of unusual symptoms and signs as the main manifestation, for example those related to the genitourinary tract, may delay diagnosis leading to the development of complications. We report the case of a 13 year old boy in whom the atypical presentation of acute appendicitis led to inadequate initial treatment and a delay in diagnosis.Cómo citar este artículo: Ballesteros Moya E, Calle Gómez A, Martín Sánchez J. Síntomas genitourinarios en la apendicitis aguda. Rev Pediatr Aten Primaria. 2013;15:338.e161-e163. Key words:  Appendicitis CASO CLÍNICONiño de 13 años sin antecedentes personales de interés. Como antecedente familiar relevante destacaba un hermano fallecido por tumor de Wilms.Consultó por síntomas miccionales (disuria, polaquiuria) sin otra sintomatología. La tira reactiva de orina fue negativa. Se inició tratamiento con trimetoprim-sulfametoxazol hasta obtener el resultado del urocultivo, que fue informado como esté-ril. Ante la ausencia de mejoría tras una semana, acudió al Servicio de Urgencias. En la anamnesis asociaba síntomas miccionales y anuria de 18 horas de evolución, junto con dolor abdominal localizado en el hipogastrio y la fosa ilíaca derecha. No refería antecedentes de cirugías, ni fiebre desde el inicio del cuadro. En la exploración, presentaba buen estado general sin signos de deshidratación, y constantes dentro de los valores normales. La auscultación cardiopulmonar fue normal. En cuan-

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Síntomas genitourinarios en la apendicitis aguda

Moya

Gómez²,

Sánchez

2013

Rev Pediatr Aten Primaria

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“…Appendicitis may occur for several reasons, such as an infection of the appendix, but the most important factor is the obstruction of the appendicular lumen [2] . No single sign, symptom, or diagnostic test accurately confirms the diagnosis of appendiceal inflammation in all cases, and the classic history of anorexia and periumbilical pain followed by nausea, right lower quadrant (RLQ) pain, and vomiting occurs in only 50% of cases [3] .…”

Section: Introductionmentioning

confidence: 97%

Accuracy of lintula score versus alvarado score in diagnosis of acute appendicitis in Al-yarmouk teaching hospital

Omar¹,

Kadhim²

2020

Int. J. Surg. Sci.

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Background: Acute appendicitis is a common and urgent surgical illness with different manifestations, generous overlap with other clinical symptoms. Alvarado score uses mainly clinical findings and laboratory values to assess the presence of acute appendicitis. Lintula scoring system has the inherent advantage in that it does not require laboratory parameters. Aim of study: To compare between two applied scoring systems (Alvarado and Lintula) in the diagnosis of acute appendicitis. Methods: A prospective observational study that was conducted in the Department of General Surgery at Al-Yarmouk Teaching Hospital/Baghdad during the period of 10 months from 1 st of April 2019 till 1 st of February 2020. It included 160 patients attended the outpatient clinic or the emergency department with signs and symptoms suggestive of acute appendicitis. Results: In this study, most of the patients (88.8%) were underwent open appendectomy and follow up after discharge. More than half of the operated cases (95.8%) were diagnosed as acute appendicitis. Cut-off point of lintula scoring system was (21), so lintula score > 21 is predictive for diagnosis of appendicitis. Lintula scoring system was 67% sensitive, 58.3% specific, and 63.1% accurate. Cut-off point of Alvarado scoring system was (7), so Alvarado score > 7 is predictive for diagnosis of appendicitis. Alvarado scoring system was 82.7% sensitive, 55% specific, and 77.9% accurate. Conclusion: Lintula score is comparable to Alvarado score in sensitivity, specificity, and accuracy for the diagnosis of acute appendicitis. Lintula score is simple, non-invasive way to be used in resource limited conditions, but Alvarado score is still more statistically better than Lintula score.

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“…Complications occur in 1-5% of patients with appendicitis. Postoperative wound infections account for almost one third of the associated morbidity [1,6,7]. …”

Section: Introductionmentioning

confidence: 99%

The value of pancreatic stone protein in predicting acute appendicitis in patients presenting at the emergency department with abdominal pain

et al. 2012

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BackgroundPancreatic Stone Protein (PSP) is a protein naturally produced mainly in the pancreas and the gut. There is evidence from experimental and clinical trials that blood PSP levels rise in the presence of inflammation or infection. However, it is not known whether PSP is superior to other established blood tests (e.g. White Blood Count, Neutrophils or C - reactive protein) in predicting appendicitis in patients presenting with abdominal pain and a clinical suspicion of appendicitis at the emergency room.Methods/designThe PSP Appendix Trial is a prospective, multi-center, cohort study to assess the value of PSP in the diagnostic workup of acute appendicitis. 245 patients will be prospectively recruited. Interim analysis will be performed once 123 patients are recruited. The primary endpoint of the study concerns the diagnostic accuracy of PSP in predicting acute appendicitis and therefore the evidence of appendicitis on the histopathological specimen after appendectomy.DiscussionThe PSP Appendix Trial is a prospective, multi-center, cohort study to assess the value of PSP in the diagnostic workup of acute appendicitis.Trial registrationClinicalTrials.gov: NCT01610193; Institution Ethical Board Approval ID: KEKZH- Nr. 2011–0501

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Acute urinary retention in a 9-year-old child: An atypical presentation of acute appendicitis

Cited by 7 publications

References 17 publications

Síntomas genitourinarios en la apendicitis aguda

Síntomas genitourinarios en la apendicitis aguda

Accuracy of lintula score versus alvarado score in diagnosis of acute appendicitis in Al-yarmouk teaching hospital

The value of pancreatic stone protein in predicting acute appendicitis in patients presenting at the emergency department with abdominal pain

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