The decision for aggressive reoperation after discovery of an appendiceal carcinoid is generally based upon criteria such as size, grade, degree of involvement of the mesoappendix or the appendiceal base, lymphovascular invasion, and the presence of goblet cell or adenocarcinoid features. No guidelines currently exist for the management of perforated appendiceal carcinoids. We present a case of perforated appendiceal carcinoid that was subsequently treated with right hemicolectomy, and we review the pertinent literature.
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.
Background: Nontraumatic acute abdominal pain is a common presentation in emergency settings, often requiring surgical intervention. This study aimed to explore the clinical presentations, surgical management, and outcomes in patients with nontraumatic acute abdominal pain, providing insights for improving management strategies.
Methods: This observational study was conducted at a tertiary care hospital in North India and included 433 patients who underwent elective and emergency abdominal surgeries from June 2021 to May 2023.
Aim: Low-grade appendiceal mucinous neoplasm (LAMN) of the appendix is a rare tumour that can progress to pseudomyxoma peritonei (PMP). There is a lack of standardization of surveillance following resection of LAMN as the progression rate to PMP is unclear. The aim of this study was to evaluate the rate of progression following resection of LAMN to PMP in a structured surveillance programme.
Trauma and Acute Care Surgery Department, Prince Sultan Military Medical City, Ahmed bin Alshaheed, Al Malaz, 3558, Riyadh 12832, Kingdom of Saudi Arabia.
Acute appendicitis is known to be caused by intraluminal obstruction of the appendiceal lumen. Nonobstructive causes of acute appendicitis are rarely reported. Posttraumatic appendicitis is uncommon, and few cases have been reported in the literature.
Acute appendicitis and acute cholecystitis are among the commonest pathologies in acute general surgery. They are characterized by distinct symptoms, clinical examination findings and typical elements of the history which direct further investigations. In the absence of these classic findings, these diagnoses can be missed, particularly where they occur synchronously.
