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[Surgery, Antibiotic Treatment or Both?].
Praxis (Bern 1994)
September 2023
Infektiologie und Spitalhygiene, Kantonsspital Graubünden, Chur, Schweiz.
The 90-year-old female patient with underlying rheumatoid arthritis and spinal canal stenosis was admitted to hospital for pain control. The clinical exam of the lower abdomen was impressively painful and the inflammatory parameters were significantly increased. For further diagnosis a computer tomography was performed, showing a covered perforated appendicitis with a perityphlitic abscess.
View Article and Find Full Text PDFDiverticulitis with coloenteric fistula mimicking gangrenous appendicitis with perityphlitic abscess. An uncommon presentation of a common disease - A case report.
Int J Surg Case Rep
September 2023
Department of Visceral, Transplant and Thoracic Surgery, Medical University Innsbruck; University Hospital Innsbruck, Anichstraße 35, Innsbruck 6020, Austria. Electronic address:
Introduction: Diverticulitis is a common gastrointestinal disease usually presenting with a typical clinical picture depending on the stage of the disease. In complicated cases, the clinical presentation may be untypical, thus delaying diagnosis and treatment.
Presentation Of Case: We present a case of a young patient who was initially treated for obscure intraabdominal abscesses presumably due to gangrenous appendicitis; however, intraoperative exploration revealed a normal appendix and a coloenteric fistula resulting from an unknown and untreated perforated diverticulitis.
Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl.
European J Pediatr Surg Rep
January 2021
Department of Pediatric Surgery and Urology, Kliniken der Stadt Köln gGmbH, Cologne, Germany.
Acute appendicitis is common in children and adolescents. Recently, conservative antibiotic treatment is regarded to be a safe approach to treat uncomplicated appendicitis. It is already established as initial treatment in cases of perforated appendicitis with perityphlitic abscess, commonly followed by interval appendectomy.
View Article and Find Full Text PDF[A Case of Curatively Resected Goblet Cell Carcinoid of the Appendix Diagnosed via Intraoperative Frozen Sectional Examination].
Gan To Kagaku Ryoho
November 2016
Dept. of Gastrointestinal Surgery, Sendai Kousei Hospital.
A 52-year-old patient presented with epigastric pain.An enhanced CT scan showed a strongly enhanced appendix with abscess formation.Appendectomy was performed under the diagnosis of acute appendicitis with perityphlitic abscess.
View Article and Find Full Text PDFSecondary torsion of vermiform appendix with mesoappendiceal lipoma.
Ann Saudi Med
June 2016
Damir Grebic, MD, PhD, Department of Surgery, Clinical Hospital Center Rijeka, School of Medicine, University of Rijeka, Kresimirova 42, Rijeka, Croatia, T: 051/ 658-684, 091/5370634, F: 051/ 213-734,
A torsion of the vermiform appendix with a mesoappendiceal lipoma is a rare condition. It is also a rare cause of acute abdomen, as such, the condition is diagnosed during surgery. This case report presents a 70-year-old male patient with lower right abdominal pain and signs of acute abdomen with an increased peripheral blood leukocyte count.
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