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Anticipating Urgency: Predictive Factors for Early Intervention in Appendicular Perforation.
Cureus
November 2024
General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Background: Appendicular perforation is a severe complication of acute appendicitis, leading to increased morbidity and complex post-surgical outcomes. Early identification of patients at risk of perforation is crucial to improve clinical management and reduce complications. This study aims to review and summarize the predictive value of clinical, biochemical, and radiological factors in determining the likelihood of appendicular perforation.
View Article and Find Full Text PDFRare appendicular anomaly of horseshoe appendix diagnosed intra-operatively during laparoscopic appendectomy: case report.
J Surg Case Rep
December 2024
Department of General Surgery, McGill University, 1650 Cedar Ave, Montréal, Canada.
Article Synopsis
- Acute appendicitis is the leading cause of lower abdominal pain in Emergency Department patients, with rare appendicular anomalies like the horseshoe appendix being particularly uncommon.
- A young female patient presented with severe right lower quadrant pain and vomiting, and tests indicated she had a dilated appendix along with signs suggesting inflammation.
- The case emphasizes that surgeons should be prepared for unexpected findings during routine surgeries and highlights the importance of understanding anatomy and potential anomalies to guide diagnosis and treatment.
Appendiceal diverticulitis: A rare case report highlighting diagnostic challenges and complication risks.
Int J Surg Case Rep
November 2024
General Surgery Department, Mahmoud El Matri Hospital, V59M+628, Ariana, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia.
Introduction And Importance: Diverticular disease of the appendix is a rare condition often mistaken for acute appendicitis, with most cases diagnosed incidentally during histopathology, underscoring the importance of comprehensive pathological evaluation for accurate diagnosis.
Case Presentation: A 34-year-old male presented with one day of periumbilical pain migrating to the right iliac fossa, without vomiting or bowel changes. Clinical examination revealed tenderness in the RIF.
Giant Appendiceal Mucocele with High Grade Mucinous Neoplasm-Case Report and Review of the Literature.
Diagnostics (Basel)
October 2024
Department of Emergency General Surgery, Emergency City Hospital, 300254 Timisoara, Romania.
Appendiceal mucocele is a rare entity first described by Carl von Rokitansky, characterized by cystic dilatation of the appendiceal lumen due to obstruction, epithelial proliferation or inflammation and accumulation of mucoid material. The cause can be either neoplastic or non-neoplastic. Patients with appendiceal mucocele can be asymptomatic or present with right lower quadrant pain which may mimic acute appendicitis.
View Article and Find Full Text PDFCollision tumor of the appendix with concomitant cecal adenocarcinoma: A case report and literature review.
Int J Surg Case Rep
December 2024
Department of Surgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia.
Introduction: Collision tumors of the appendix are rare tumors consisting of two distinct pathologies arising from different cell lines simultaneously. The most common type is the coexistence of a neuroendocrine tumor (NET) with a low-grade appendiceal mucinous neoplasm (LAMN). We report a unique case of appendiceal collision tumor with synchronous cecal intra-mucosal carcinoma and pulmonary sarcoidosis.
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