Hemorrhagic stress ulceration in a case of appendicitis

Agarwal, Hemant; Churchwell, Kevin B.; Pietsch, John B.; Little, Cheryl A.

doi:10.1016/j.jpedsurg.2006.04.012

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…Harding, noted pathologist commented in 1962 that psychological factors were responsible for high incidence of removal of normal appendices among young females -"leaving the smoother life of school to start work, having a job which is not liked, quarreling with a boyfriend and other emotional upsets are commoner at this age than other" [2]. However, there has been a report of association of clinically signifi cant hemorrhagic stress ulceration in a case of appendicitis in a pediatric patient [3].…”

Section: Dear Sirmentioning

confidence: 99%

Examination triggered appendicitis: is it a new generation entity?

Bhattacharya¹

2008

Indian J Surg

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Section: Dear Sirmentioning

confidence: 99%

Examination triggered appendicitis: is it a new generation entity?

Bhattacharya¹

2008

Indian J Surg

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“…The mortality rate in adult intensive care patients has been shown to rise from 9.1 to 48.5% if clinically significant gastrointestinal bleeding has occurred [2]. SRMD has not been thoroughly studied in the paediatric surgical population and its association with acute appendicitis is confined to isolated case reports [3][4][5]. The role of pre-existing Helicobacter pylori in conjunction with the stress of severe disease is not fully understood and our cases illustrate that it may be highly significant, warranting further study.…”

Section: Introductionmentioning

confidence: 99%

Stress-related mucosal disease in childhood appendicitis

et al. 2008

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Stress-related mucosal disease (SRMD) is known to occur in critically ill patients both in the adult and paediatric population. Acute appendicitis is the most common surgical emergency in childhood and can precipitate SRMD. This possibility should be kept in mind, particularly in prolonged, complicated episodes. Although clinical complications of SRMD are rare, they may be highly significant in terms of haemorrhage or perforation and result in considerable morbidity or mortality. We provide a thorough review of the incidence, aetiology, role of Helicobacter pylori, risk factors, prophylaxis and management of this condition and describe a series of three cases of ulcerative SRMD in children with complicated appendicitis.

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Effectiveness of a vaccination program against mumps in Ukraine

Hrynash

Nadraga

Dasho

2008

Eur J Clin Microbiol Infect Dis

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Medical records and incidence data were analyzed retrospectively to document the epidemiology, clinical features, and outcomes of mumps in relation to vaccination status in the Lviv province of Ukraine over a 7.5-year period, beginning in 2000, when a second dose of mumps vaccine was introduced. Lviv, 1 of 27 provinces in western Ukraine, with a land area of 21,833 km(2), had a total population of about 2,555,834 in 2006. The initial success of the second dose introduction in 2000 in Ukraine was limited by a local outbreak of mumps in Lviv province in 2000-2002 due to a vaccine shortage; most cases were over the age of 7 years. The vaccine with the Leningrad-3 virus strain used before 2001 was then replaced by the triple vaccine "Priorix", with the RIT 4385 derivate of the Jeryl Lynn strain, Belgium. Orchitis and aseptic meningitis were associated with the Russian vaccine. Of the 10,894 reported cases, the most severe (367 cases, 3.4%) were hospitalized in the Lviv Hospital for Infectious Diseases. Admitted patients were predominantly male and over 14 years old. Of the 367 patients admitted to the Lviv Hospital for Infectious Diseases, 45.8% had been vaccinated (mostly by a first dose of Russian vaccine), 15.9% had not been vaccinated, and 38.1% had an unknown vaccination status. More mumps cases occurred in winter and spring than in summer and autumn. The clinical picture and complications (orchitis, pancreatitis, meningitis, and encephalitis) were typical of this disease. The vaccine shortage and an increase in the susceptible population among those who received the Russian vaccine contributed to the outbreak. The use of vaccine with a derivate of the Jeryl Lynn strain has resulted in a dramatic drop in mumps cases since 2002.

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Hemorrhagic stress ulceration in a case of appendicitis

Cited by 3 publications

References 16 publications

Examination triggered appendicitis: is it a new generation entity?

Examination triggered appendicitis: is it a new generation entity?

Stress-related mucosal disease in childhood appendicitis

Effectiveness of a vaccination program against mumps in Ukraine

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