Pattern of presentation and outcome of management of acute appendicitis: A 10-year experience

Afuwape, Oludolapo O; Ayandipo, Omobolaji; Soneye, Oluwafunmilayo Yewande; Fakoya, Adegbolahan

doi:10.4103/jcls.jcls_105_17

Cited by 5 publications

(3 citation statements)

References 1 publication

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“…In LICs, a CT scan of the abdomen is not suggested. In a study performed at a tertiary hospital in Nigeria, involving more than 1000 cases of acute appendicitis, a CT scan was performed in only one case (Afuwape et al, 2018).…”

Section: Acute Appendicitismentioning

confidence: 99%

Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations

Perrone

Sartelli

Giuffrida

et al. 2020

International Journal of Infectious Diseases

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Acute appendicitisAcute diverticulitis Acute cholecystitis Remote areas Antimicrobial resistance countries. A literature search of the PubMed/MEDLINE databases was conducted covering the period up until June 2020. Results: The critical shortages of healthcare workers and material resources in remote areas require the use of a robust triage system. A combination of abdominal signs and symptoms with early warning signs may be used to screen patients needing immediate acute care surgery. A tailored diagnostic step-up approach based on the hospital's resources is recommended. Ultrasound and plain X-ray may be useful diagnostic tools in remote areas. The source of infection should be totally controlled as soon as possible. Conclusions: The cornerstones of effective treatment for intra-abdominal infections in remote areas include early diagnosis, prompt resuscitation, early source control, and appropriate antimicrobial therapy. Standardization in applying the guidelines is mandatory to adequately manage intra-abdominal infections.

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Section: Acute Appendicitismentioning

confidence: 99%

Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations

Perrone

Sartelli

Giuffrida

et al. 2020

International Journal of Infectious Diseases

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“…Even when cross-sectional imaging is available in resourceconstrained settings, its use often is limited in appendicitis because of demands on it for more critical conditions. A review of more than 1,000 appendicitis cases at a tertiary hospital in Nigeria showed only one patient underwent a CT scan [66]. Even in high Human Development-Index Countries (HHDICs), use of CT to diagnose appendicitis differs substantially.…”

Section: Applicability Of Diagnostic Algorithms To Lmhdicsmentioning

confidence: 99%

Appendicitis in Low-Resource Settings

Bessoff

Forrester

2020

Surgical Infections

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Background: Acute appendicitis is one of the most common surgical emergencies globally. Its incidence is increasing in low-and middle-Human Development Index countries (LMHDICs). Although a proportion of patients can be treated successfully with non-operative management consisting of antibiotics, supportive therapy, and close observation, current diagnostic algorithms lack the granularity to identify these patients accurately. Methods: We reviewed published literature describing practice patterns and clinical outcomes for appendicitis in LMHDICs and compared them with studies from high-Human Development Index countries, as well as guidelines published by international surgical societies. Results: We identified shortcomings in current diagnostic and therapeutic strategies used in LMHDICs. Delays in obtaining surgical care inherent in many LMHDIC healthcare systems make prompt surgical care the mainstay for the treatment of acute appendicitis. Laparoscopic appendectomy leads to better outcomes than open appendectomy in resource-constrained settings and when available should be the surgical technique of choice. Conclusions: Acute appendicitis is common in LMHDICs, and if possible, laparoscopic appendectomy should be the procedure of choice.

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“…1 Lifetime incidence of acute appendicitis is 7% which is at its peak in second decade of life. 2 It is a mucosal inflammation of vermiform appendix, which is a blind ending tube attached at posterolateral junction of caecum. Clinically it presents initially as pain in umblical region which later on migrates to right iliac fossa, nausea, vomiting and anorexia.…”

Section: Introductionmentioning

confidence: 99%

Impact of Endemicity of Ascariasis on Diagnosis of Acute Appendicitis

Ahmed

Gul

Pervaiz

et al. 2021

PAFMJ

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Objective: To determine the impact of endemicity of ascariasis in the manifestation of acute appendicitis. Study Design: Prospective observational study. Place and Duration of Study: General Surgery Department, Combined Military Hospital Skardu, from May 2012 to Apr 2015. Methodology: Patients presenting with symptoms of acute appendicitis were included in the study. Patients were diagnosed after taking detailed history, clinical examination and blood chemistry. All the patients underwent open appendectomy under general anesthesia. Per-operatively presence of worms was assessed in terminal ileum and after that in the lumen of the appendix initially by palpation and then by opening its lumen after it was removed. Histopathologic diagnosis could not be confirmed due to its non-availability as the surgeries were performed in a remote and resource constraint area of the country. Results: A total of 224 patients were included in the study. Out of these, 143 (63.8%) were male and 81 (36.1%) female patients. The mean age of patients was 22 ± 6 years. Per-operatively, 21 (9.3%) patients had worms in both ileum and appendicular lumen while 22 (9.8%) patients had worms only in the terminal ileum and there were no worms seen in either ileum or appendix in 181 (80.8%) patients. Conclusion: There is a relation of parasitic infestation especially Ascaris lumbricoides in the manifestation of acute appendicitis in endemic areas.

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Pattern of presentation and outcome of management of acute appendicitis: A 10-year experience

Cited by 5 publications

References 1 publication

Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations

Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations

Appendicitis in Low-Resource Settings

Impact of Endemicity of Ascariasis on Diagnosis of Acute Appendicitis

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