Evaluation of Outcome of a Rare Presentation of Appendicitis

Channel:
India BP International
Subscribers:
9,520
Published on ● Video Link: https://www.youtube.com/watch?v=ssvZrNutPLg


Duration: 0:00
48 views
0

Evaluation of Outcome of a Rare Presentation of Appendicitis | Chapter 04 | New Insights into Disease and Pathogen Research Vol. 2

Introduction: Acute appendicitis is the inflammation of the vermiform appendix and it is the most common intra-abdominal surgical emergency. Therefore, perforated appendicitis is rarely accompanied by pneumoperitoneum and that apparent rarity of association of pneumoperitoneum and acute appendicitis prompted us to discuss this condition.

Materials and Methods: This retrospective study reviewed all cases of acute abdomen with pneumoperitoneum admitted in King Abdulaziz University Hospital from January 2011 to December 2015. Only cases with acute appendicitis were selected to be in the study, Leucocytic count and C-reactive protein, as well as plain X-ray abdomen in erect position and C.T.scan were reviewed preoperatively.

All demographic data (age, gender), as well as the clinical details which included relevant investigations results, in addition to the perioperative data (the type of the performed operative procedure, operative time and the hospital stay with reference to the postoperative complications for each patient), all were collected and analyzed by IBM-SPSS version 22.

Results: Pneumoperitoneum due to perforated appendix was found in 7 out of 131 cases in this study (5.3%), with male predominance 6/7, with a mean age of 29.7 years. The documented postoperative complications were pulmonary complications; intra-abdominal pus collection (pelvic and subphrenic) as well as wound dehiscence, all were found post conventional exploratory laparotomy cases.

Conclusion: The study documented the rarity of pneumoperitoneum due to perforated appendix. Therefore, it should be considered as a cause of acute abdomen with pneumoperitoneum, imaging studies were very essential to visualize these cases, Laparoscopic approach provided better outcome than the conventional laparotomy approach.

Author(s) Details

Dr. Ahmed Makki
Department of Surgery, King Abdulaziz University, Saudi Arabia.

Read full article: http://bp.bookpi.org/index.php/bpi/catalog/view/71/848/662-1



Other Videos By BP International


2019-09-28Quad Variable Relay for Protection of AC Microgrids
2019-09-28Combined Anti-diabetic Effects of Extracts of Artemisia annua var. Chiknensis (CBGE/CHNA/09/LTNGS/G)
2019-09-28Semiconductor Device Simulation with MATLABTM
2019-09-28Influence of Species, Particle Size and Compacting Pressure on Impact Resistance Index and Water
2019-09-28Effect of Date of Sowing and Topping on Seed Production of Jute in Red and Laterite Zone of West
2019-09-28Palm Nut Dimensional Relationship Relevant to its Primary Processing
2019-09-28Meteorological Factors in Dispersion Modelling of SO2 and NO2 in Baia Mare, Romania
2019-09-28Hill’s Equation in Arm Push of Shot Put and in Braking of Arm Rotation
2019-09-28Beyond the Construction, Design and Planning Scenarios of Eco-Buildings
2019-09-26Uterine Didelphys Pregnancy Management
2019-09-26Evaluation of Outcome of a Rare Presentation of Appendicitis
2019-09-24Translation of Weighted Voting Concepts to the Boolean Domain: The Case of the Banzhaf Index
2019-09-24Analytical Modeling of the Thermoelectric Effect in Photovoltaic Cells: Combined Solar Photovoltaic
2019-09-24Comparative Analysis of Four Heuristic Functions that Optimizes the A* Search Algorithm
2019-09-24Performance Evaluation for Local User Terminals Dedicated for Search and Recues Services from LEO
2019-09-24Augmented Lagrangian Method for One Dimensional Optimal Control Problems Governed by Delay
2019-09-24Computations of the Eight Basic Measures in Diagnostic Testing
2019-09-24Weierstrass’s Global Division Theorem and Continuity of Linear Operators in H-spaces
2019-09-24Some Geometric Properties of a Generalized Difference Sequence Space Involving Lacunary Sequence
2019-09-24Analytical Approach to Obtain Some New Traveling Wave Solutions of Coupled Systems of Nonlinear
2019-09-24Relations between Various Magnitudes Which Serve as Signs of a Right-angled Triangle