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Beyond the Usual Suspects: Appendiceal Bleeding as the Surprising Cause of Lower Gastrointestinal (GI) Bleeding.
Cureus
December 2024
Department of Surgery, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, GBR.
Lower gastrointestinal bleeding (LGIB) is a common clinical condition typically associated with diseases like diverticular disease, inflammatory bowel disease, and cancer. However, rarer etiologies such as appendiceal hemorrhage can present similarly, complicating diagnosis and management. This case report discusses a 42-year-old male who presented with severe rectal bleeding.
View Article and Find Full Text PDFRoutine preoperative blood group and save is unnecessary for adult emergency appendicectomies: A retrospective multicentre study.
Scott Med J
December 2024
Department of General Surgery, University Hospital Hairmyres, East Kilbride, Scotland, UK.
Background And Aims: Routine group and save (G&S) is commonly performed before appendicectomy despite limited evidence. This study aims to evaluate the necessity of preoperative G&S by determining perioperative blood transfusion rates.
Methods: A multicentre retrospective observational study of adult patients who had emergency appendicectomy across four hospitals between August 2018 and November 2020.
The risk of preterm delivery after appendectomy during pregnancy is higher in the face of a negative appendectomy.
Am J Surg
November 2024
Department of Obstetrics and Gynecology, Lis Maternity and Women's Hospital, Sourasky Medical Center, Faculty of Medicine Tel Aviv University, Weizmann 6 Street Tel Aviv, Israel. Electronic address:
Article Synopsis
- This study examined the outcomes of 185 pregnant women who had appendectomies, comparing them to 555 who did not undergo surgery, focusing on clinical, obstetrical, and neonatal results from 2005 to 2022.
- The majority of the appendectomies were laparoscopic, with 76.2% of cases showing an inflamed appendix; however, preterm delivery was significantly higher in the appendectomy group (11.9%) compared to the control group (5.4%).
- The analysis indicated that having an appendectomy, especially if it was a negative appendectomy, was a significant risk factor for preterm birth, highlighting the need for careful
Impact of Consumer Wearables Data on Pediatric Surgery Clinicians' Management: Multi-Institutional Scenario-Based Usability Study.
JMIR Perioper Med
November 2024
Division of Pediatric Surgery, Department of Surgery, Ann and Robert H Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Background: At present, parents lack objective methods to evaluate their child's postoperative recovery following discharge from the hospital. As a result, clinicians are dependent upon a parent's subjective assessment of the child's health status and the child's ability to communicate their symptoms. This subjective nature of home monitoring contributes to unnecessary emergency department (ED) use as well as delays in treatment.
View Article and Find Full Text PDFOptimal Surgical Approaches for Incidentally Discovered Ruptured Mucinous Appendiceal Neoplasms.
Cureus
October 2024
General Surgery, Northeast Georgia Medical Center Braselton, Braselton, USA.
Article Synopsis
- * A case study of a 52-year-old male revealed that testicular pain led to the discovery of a ruptured appendiceal mucocele, resulting in invasive mucinous adenocarcinoma.
- * Treatment involves careful surgical management, with the option for an appendectomy and planning for elective HIPEC after ensuring complete removal of the tumor; prognosis varies based on disease extent and surgical success.
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