Chronic Recurrent Appendicitis. A Clinicopathologic Study of 47 Cases*

Falk, Stefan; Schütze, U; Guth, Hazel; Stutte, H. J.

doi:10.1055/s-2008-1042505

Cited by 24 publications

(16 citation statements)

References 3 publications

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“…It has also been suggested that appendices harbour chronic inflammatory reaction of unknown etiology mediated largely by T lymphocytes. 4 Clearly, where histology of the appendix reveals intrinsic pathology, appendicectomy would be generally curative. [11][12][13] With 9 of 11 patients in the current series showing a distinctive pathologic profile, this lends further support to removal of the appendix.…”

Section: Discussionmentioning

confidence: 99%

Elective Laparoscopic Appendicectomy for Chronic Right Iliac Fossa Pain in Children

Panchalingam

Driver

Mahomed

2005

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Elective Laparoscopic Appendicectomy for Chronic Right Iliac Fossa Pain in Children

Panchalingam

Driver

Mahomed

2005

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Acute and chronic inflammations of the appendix were reviewed and chronic inflammation was diagnosed when lymphocytes and eosinophils were present within the appendiceal wall and fibrosis was associated with the presence hematoxylin and eosin during histopathological examination [12][13][14].…”

Section: Evaluation Criteriamentioning

confidence: 99%

Recurrent abdominal pain in young pre-menarchal female: clinical and surgical observations

et al. 2007

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The purpose of this study is to determine the role of surgical intervention in pre-menarchal patients with recurrent abdominal pain. Seventy-six pre-menarchal females aged 9-12 were examined for recurrent abdominal pain; during clinical observation blood tests were within normal values and abdominal and pelvic US showed no surgical or gynaecological problems. After laparoscopic appendectomy the patients' clinical-surgical findings were related to their age, relief of symptoms and histopathological findings. A total of 71% of patients showed positive surgical findings; 55.5% of these showed variations in the position of the appendix with mild inflammation and reactive pericaecal lymph nodes, 7.5% had a macroscopic inflammation with adhesions and 37% had a mild inflammation. Twenty-nine percent of patients had a normal appendix without adhesions, inflammations or infections. Histopathological examination showed a pathologic appendix in 60 cases (79%). Six months after surgery abdominal pain persisted in 18 patients out of 76 (23%). There is a statistically significant relationship between recurrent abdominal pain, surgical observation and relief of symptoms (P < 0.05). We believe that patients affected by recurrent abdominal pain need to be closely and simultaneously monitored. For this reason, laparoscopy should be considered and used with those patients suffering from frequent abdominal pain and discomfort.

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“…27 Unfortunately there is no laboratory or radiological finding at times suggestive of chronic appendicitis, they all remain within normal limits. 28 Presence of adhesions and fibrosis in and around appendix observed by surgeon at laprotomy is sufficient for the diagnosis of chronic appendicitis as it has 93.5% specificity and 77.8% sensitivity, Mussack T, et al 29 Sometime even these features are not so prominent to explain pain however gross observation cannot replace pathological confirmation. 30,31 Histopathology of specimen showed features of chronic inflammation namely fibrotic changes lymphocytic infiltration and luminal obstruction justifies the decision taken.…”

Section: Discussionmentioning

confidence: 99%

Recurrent pain in right lower quadrant- chronic appendicitis versus stone in urinary tract

Srivastava¹,

Agarwal²,

Agarwal³

2017

Int Surg J

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INTRODUCTIONA 16 years old male patient complained of mild, intermittent pain in RLQ (right lower quadrant) of abdomen were receiving treatment for stone in urinary tract, as shown in USG abdomen for last 6 months in SOPD. One day he landed in hospital with abscess in right iliac fosa. He was operated upon and Appendicectomy was done. The histopathology report of the appendix showed chronic inflammatory changes. Few surgeons concluded patient receiving frequent consultation due to repeated abdominal pain chronic appendicitis should be considered as one of the cause in DD of recurrent pain in RLQ.1 Atypical clinical course with repeated attack in some individual does not resemble the features of appendicitis.2 Marcotty MW et al showed in 2/3 of the patient with so called chronic appendicitis does not resemble in their sign and symptoms with that of pathological and anatomical findings, they recommended a strong indication of operation in all 50 patient, 49/50 patients were free from pain within one year follow up. The sequence of events in patient and similar cases reported by many authors provides ample ground in favour of chronic appendicitis as a possible diagnosis in these patients to exists even in presence of small stone in ABSTRACT Background: At times, patient undergoing treatment for stone (4mm-6mm) in urinary tract beyond 6-8 weeks keeps on complaining mild, intermittent pain in RLQ, Central abdomen with nausea without urinary symptoms. In these cases, appendicectomy was performed. Post-operative relief and histopathology revealing inflammatory changes in appendix validated the procedure. Methods: This study was conducted in department of surgery of Rajshree Medical and Research Institute of Bareilly, Uttar Pradesh, India. India. 35 patients of ages between 14-65 years, mean being (39.5 years). Male female ratio being (2.5:1) who were suffering from recurrent pain in RLQ and being treated for stone in urinary tract (4-6 mm) were selected for the study. These patients were already received treatment for Urolithiasis for 6-8 weeks but proved to be of no avail. They were considered for appendicectomy. Macroscopic and microscopic results were analysed of the specimen rendered from 35 patients. Follow up results observed for complete one year. Results: On the firm belief that symptomatically these patients are more in favour of chronic appendicitis appendicectomy was performed. Post-operative relief of pain with no added morbidity or mortality provided rationale of the procedure. Histopathology of the remove specimen showed all changes pertaining to the chronic appendicitis. Conclusions: Obvious/oblivious, when patient is having both at the same time it really becomes perplexing to take the decision. Only experienced clinical skill decision taken yields positive results. Appendicectomy done in presence of small stones in urinary tract and relief patient received in present study proved the point.

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Chronic Recurrent Appendicitis. A Clinicopathologic Study of 47 Cases*

Cited by 24 publications

References 3 publications

Elective Laparoscopic Appendicectomy for Chronic Right Iliac Fossa Pain in Children

Elective Laparoscopic Appendicectomy for Chronic Right Iliac Fossa Pain in Children

Recurrent abdominal pain in young pre-menarchal female: clinical and surgical observations

Recurrent pain in right lower quadrant- chronic appendicitis versus stone in urinary tract

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