Spontaneously Resolving Appendicitis: Frequency and Natural History in 60 Patients

Cobben, Lodewijk P. J.; Otterloo, Alexander de Mol van; Puylaert, J. B. C. M.

doi:10.1148/radiology.215.2.r00ma08349

Cited by 140 publications

(88 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[37][38][39][40] Our assumption that spontaneously resolving cases were not true acute appendicitis may be criticized. However, the incidence of spontaneously healing acute appendicitis is not known.…”

Section: Discussionmentioning

confidence: 99%

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

Kırkıl¹,

Karabulut²,

Aygen³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

Kırkıl¹,

Karabulut²,

Aygen³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

“…4) LDCT was reported positive for appendicitis; patient was discharged home after complete resolution of her clinical symptoms without further imaging or surgery; her followup was uneventful. In spite of the fact that this case might correspond to a spontaneously resolving appendicitis [29], it has been considered as a false positive LDCT.…”

Section: Algorithm Diagnostic Performancementioning

confidence: 92%

Acute appendicitis: prospective evaluation of a diagnostic algorithm integrating ultrasound and low-dose CT to reduce the need of standard CT

et al. 2011

View full text Add to dashboard Cite

Objectives To evaluate an algorithm integrating ultrasound and low-dose unenhanced CT with oral contrast medium (LDCT) in the assessment of acute appendicitis, to reduce the need of conventional CT. Methods Ultrasound was performed upon admission in 183 consecutive adult patients (111 women, 72 men, mean age 32) with suspicion of acute appendicitis and a BMI between 18.5 and 30 (step 1). No further examination was recommended when ultrasound was positive for appendicitis, negative with low clinical suspicion, or demonstrated an alternative diagnosis. All other patients underwent LDCT (30 mAs) (step 2). Standard intravenously enhanced CT (180 mAs) was performed after indeterminate LDCT (step 3). Results No further imaging was recommended after ultrasound in 84 (46%) patients; LDCT was obtained in 99 (54%). LDCT was positive or negative for appendicitis in 81 (82%) of these 99 patients, indeterminate in 18 (18%) who underwent standard CT. Eighty-six (47%) of the 183 patients had a surgically proven appendicitis. The sensitivity and specificity of the algorithm were 98.8% and 96.9%. Conclusions The proposed algorithm achieved high sensitivity and specificity for detection of acute appendicitis, while reducing the need for standard CT and thus limiting exposition to radiation and to intravenous contrast media.

show abstract

“…Vomiting that precedes pain is always suggestive of intestinal obstruction which is always confused with acute appendicitis. 17 In the present study a total of 160 cases, who were placed in Group-II and Group-III with Alvarado score >6 were operated. 40 cases were managed conservatively and discharged without appendectomy.…”

Section: Discussionmentioning

confidence: 90%

Diagnosis and management of acute appendicitis by Alvarado scoring with ultrasonography as supportive tool

et al. 2017

View full text Add to dashboard Cite

Background: Acute appendicitis remains as one of the most common surgical entity requiring early intervention. Delay in management results in complications and misdiagnosis results in negative appendectomy. Hence there is always a need to develop a well-designed protocol for diagnosis and to reduce negative appendectomy. Alvarado score for diagnosis of acute appendicitis is an easy, affordable and diagnostic which has been evaluated early with variable reports. In cases with equivocal score, additional tools like sonography may provide a reliable result in accurate diagnosis of acute appendicitis. Objective of the study was to determine the diagnostic accuracy of Alvarado score and ultrasonography in diagnosis of acute appendicitis. To determine the sensitivity, specificity and predictive values of ultrasonography in cases operated with histopathological correlation.Methods: A prospective observational study was conducted at our hospital by department of general surgery for a period of six months. All suspected cases of appendicitis were scored by Alvarado score and cases with>5 were performed additional USG for further evaluation. All the cases of appendicitis that underwent surgery were further confirmed by histopathological correlation with USG and clinical Alvarado score.Results: A total of 200 cases were enrolled with male predominance (57.5%) and mean age of study group was 34.26±8.64 years and male to female ratio of 1.3:1.69% of cases presented with Alvarado score of 7 and above, while 21% of cases with 5-6. Migratory pain in RIF was the commonest symptom and tenderness RIF was the most common sign.160 cases (80%) were operated totally with 75% cases lap appendectomy and 25% cases by open appendectomy. USG was performed on 160 cases and 146 were positive and 14 were negative whereas histopathologically 142 cases were confirmed as Acute appendicitis. The sensitivity, specificity, PPV and NPV of USG is 97.18%, 55.56%, 94.52% and 71.43%. The accuracy of USG is 92.5.Conclusions: Acute appendicitis is first and foremost a clinical diagnosis with scoring systems and imaging being necessary adjuncts in equivocal cases. USG is an easily available tool in diagnosis of acute appendicitis. Application of USG as adjunct tool to Alvarado scoring improves the diagnostic accuracy.

show abstract

Spontaneously Resolving Appendicitis: Frequency and Natural History in 60 Patients

Abstract: Spontaneously resolving appendicitis occurs in at least one in 13 cases of appendicitis and has an overall recurrence rate of 38%, with the majority of cases reccurring within 1 year.

Cited by 140 publications

References 12 publications

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

Acute appendicitis: prospective evaluation of a diagnostic algorithm integrating ultrasound and low-dose CT to reduce the need of standard CT

Diagnosis and management of acute appendicitis by Alvarado scoring with ultrasonography as supportive tool

Contact Info

Product

Resources

About