Peritoneal Lavage as an Aid in the Diagnosis of Acute Peritonitis of Non-Traumatic Origin

Hoffmann, J

doi:10.1159/000171195

Cited by 9 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Paracentesis and examination of the peritoneal exudate or of the return following lavage of the peritoneal cavity has been used in the diagnosis of acute abdominal findings [47,48]. The gross appearance, amylase content, and white blood cell count of the peritoneal fluid in patients with acute pancreatitis vary widely and overlap with those in patients with other causes of peritonitis.…”

Section: Diagnostic Paracentesismentioning

confidence: 99%

Diagnostic standards for acute pancreatitis

1997

View full text Add to dashboard Cite

An accurate history and thorough physical examination will often raise clinical suspicion of acute pancreatitis in the differential diagnosis of a patient presenting with acute abdominal pain. An accurate diagnosis is needed to eliminate etiologies of acute abdominal pain and to appropriately direct therapy. Confirmation of the diagnosis is most often made by evaluation of serum amylase and lipase levels. Although hyperamylasemia is found in the majority of patients with acute pancreatitis, other nonpancreatic acute abdominal conditions may be present with hyperamylasemia. CT scanning provides an accurate confirmation of clinical and laboratory findings and offers excellent anatomic and morphologic representation of the pancreas and peripancreatic tissue. The following article, written by the late John H.C. Ranson, presents a discussion of the modalities available for diagnosing acute pancreatitis.

show abstract

Section: Diagnostic Paracentesismentioning

confidence: 99%

Diagnostic standards for acute pancreatitis

1997

View full text Add to dashboard Cite

show abstract

“…These findings were similar to other studies. [18][19][20] There were 3.96% patients who complained of loose motion and 6.93% had dysuria. Only 35.64% of patients had the classic migration of discomfort from the umbilical area to the right lower quadrant.…”

Section: Resultsmentioning

confidence: 99%

Accuracy and diagnostic approach of combining multiple modalities for diagnosing appendicitis among non-pregnant female of reproductive age

Rahman¹,

Rahman

Maniruzzaman³

et al. 2022

Int Surg J

View full text Add to dashboard Cite

Background: Appendicitis is notorious in its ability to simulate other conditions and in the frequency, it can be mimicked by other pathologies. The purpose of this study was to evaluate the accuracy of the diagnostic approach incorporating modified Alvarado score system (MASS) and ultrasonography with clinical findings. The aim of the study was to observe and evaluate different modalities of determining appendicitis among the non-pregnant female population of reproductive ageMethods: This prospective descriptive study was conducted at the department of surgery, Rajshahi College and Hospital, Rajshahi, Bangladesh. The study duration was 6 months, from February 2013 to July 2013. The study was conducted with a total of 101 women who were of reproductive age, presenting with right lower quadrant pain, who went through appendicectomy during the study period.Results: The incidence of negative appendicectomy was 4.95% in this study. Most of the patients having appendicitis were in second and third decades with a mean age of 24.79±10.11 years. The rate of perforation in our study was 5.94%. The overall post-operative complication rate was 13.86% with minor wound infection being the most common complication. The accuracy, sensitivity, specificity, PPV and NPV of the diagnostic approach in this study were 95.05%, 98.96%, 20.00%, 95.96% and 50.00% respectively. The accuracy, sensitivity and specificity of ultrasound were found to be 29.47%, 25.56% and 100% respectively.Conclusions: Combined use of clinical diagnosis incorporating modified Alvarado score and ultrasonography led to a significant reduction in the negative appendicectomy rate.

show abstract

“…A multitude of studies have addressed this issue, and various techniques and technologies have been assessed, including structured history-taking and examination [48,57,59,89,95], algorithms and scores [5,8,57,134], biochemical investigations [1,37,39], peritoneal lavage [54], computer-aided diagnosis [32], radiological investigations [20], and ultrasound [57,59,60,61,104]. Laparoscopy was initially introduced as a promising and powerful additional diagnostic tool.…”

Section: Discussionmentioning

confidence: 99%

Macroscopic assessment of the appendix at diagnostic laparoscopy is reliable

et al. 2000

View full text Add to dashboard Cite

Contrary to general opinion, there is no substantial evidence to support the assumption that the macroscopic diagnosis of appendicitis is unreliable. High rates of conflicting diagnoses of excision specimens suggest that endoappendicitis has little clinical significance. At present, negative appendectomy rates are considerably higher for laparoscopic appendectomy than for the open approach. The role of diagnostic laparoscopy in suspected appendicitis should be reconsidered. It may be useful in particular subgroups of patients, but it is no substitute for good clinical judgment. Furthermore, it is not always necessary to perform an incidental appendectomy.

show abstract

Peritoneal Lavage as an Aid in the Diagnosis of Acute Peritonitis of Non-Traumatic Origin

Cited by 9 publications

References 16 publications

Diagnostic standards for acute pancreatitis

Diagnostic standards for acute pancreatitis

Accuracy and diagnostic approach of combining multiple modalities for diagnosing appendicitis among non-pregnant female of reproductive age

Macroscopic assessment of the appendix at diagnostic laparoscopy is reliable

Contact Info

Product

Resources

About