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21 paź 2024 · A perforated appendix increases the risk of a postoperative abscess. If the patient is unstable or septic, urgent surgery is indicated. If the patient is stable, however, initial nonoperative management including antibiotics is safe 8 .
28 wrz 2024 · Acute appendicitis (plural: appendicitides) may be simple and uncomplicated or complex, leading to gangrene, abscess, or perforation 35. Chronic appendicitis is an uncommon entity 25. If status post appendectomy, then stump appendicitis may still occur.
Laboratory results, RLQ tenderness, and US findings are congruent with appendicitis. The wall changes and surrounding fluid suggest necrosis/gangrene and presage perforation. An urgent operation was performed which found: perforated appendicitis. appendix, cecum and terminal ileum conglomerate inflammatory mass.
1 wrz 2020 · Perforation: Paradoxically, at a more advanced stage appendiceal dilatation can cause thinning of the appendiceal wall associated with possibly transmural ulcers and focal or diffuse necrosis, leading to porosity.
A statistically significant association was found between three sonographic findings and perforation: loculated pericecal fluid, prominent pericecal fat, and circumferential loss of the submucosal layer of the appendix. No single finding had a specificity greater than 59%.
10 sty 2016 · Abscess and extraluminal air are the most specific findings for perforated appendicitis, but have low sensitivity. Periappendiceal inflammatory stranding and focal defect in the enhancing appendiceal wall are more sensitive, but less specific.
1 gru 2006 · Two radiologists reviewed in consensus the multidetector CT images obtained in all patients for various findings that may be associated with appendiceal perforation. For continuous variables, a comparison of means between the perforated and nonperforated groups was performed by using the Wilcoxon rank sum test.
