![]() Īmong gastrointestinal neoplasms, appendiceal tumors are rare, presenting in only 1 percent of appendectomies’ specimens. Other causes include fibrous obliteration, eosinophilic infiltration, parasites, actinomycosis, tuberculosis, Crohn’s disease, endometriosis, diverticulitis, foreign body, and benign or malignant tumors. It is an acute inflammatory process of the mucosal layer of the appendix that expands toward the serosa and is most frequently caused by luminal obstruction due to either lymphoid hyperplasia in children or a fecalith in adults. ConclusionsĬonsidering these variants would guide physicians towards a more accurate approach to similar clinical pictures and hence an improved long-term prognosis.Īcute appendicitis is one of the most common surgical emergencies worldwide. ![]() At last, an incidental finding is exposed and final treatment options are discussed given the overall presentation. A discussion of the general approach to this specific case and the importance of consensual diagnostic criteria for these specimens are also presented. Here, we review all case reports regarding intramural, intracecal or subserosal appendixes. Only the histopathology report revealed the presence of a complete subserosal appendix which was responsible for the entire symptomatology. Therapeutic decisions were extremely challenging due to clinical deterioration and an uncertain etiology. However, a cecal mass was identified instead of an inflamed appendix during surgery. ![]() We present a 9-year-old female patient that came with a clinical picture compatible with acute appendicitis. In 14 of 28 cases the appendiceal diverticulum was the site in which acute appendicitis began.Appendix’ anatomical variations are a rare occurrence which can mislead diagnosis and delay appropriate treatment. The incidence of appendiceal diverticula was higher, whereas the incidences of carcinoid tumor and FOL were lower compared with that in the western report. Incomplete FOL was considered to progress to complete form with age. FOL was more frequent in female patients as well as patients over 40 years of age. There were 69 cases of FOL (32 complete forms and 37 incomplete forms), among which 13 cases were associated with acute appendicitis. Among 478 incidental appendectomy cases, there were 3 acute focal appendicitides, 1 acute suppurative appendicitis, 1 eosinophilic appendicitis, 32 periappendicitides, 1 mucocele, 40 pure FOLs, 1 deciduosis, 1 endometriosis, and 1 diverticulosis without inflammation. In the former acute primary diverticulitis led to acute appendicitis in 14 of 28 cases. Twenty eight cases of acute appendicitis were associated with diverticula. Incidence of the acute appendicitis was suspected to be 7.2/100,000/year. Diagnostic accuracy of the acute appendicitis was 79.7%. Patients having acute appendicitis ranged from 3 to 84 years of age, and patients in their 10's and 20's occupied over half of 2159 cases. The appendectomy specimen consisted of 91 cases of acute focal appendicitis (5.4%), 926 cases of acute suppurative appendicitis (55.1%), 228 cases of acute gangrenous appendicitis (13.6%), 63 cases of periappendicitis (3.8%), 13 cases of pure fibrous obliteration of the lumen (FOL 0.8%), 18 cases of other diseases (7 mucoceles, 2 mucinous cystic neoplasms, 4 carcinoids, 2 metastatic carcinomas, 2 tuberculous appendicitides, and 1 eosinophilic appendicitis 1%), and 342 cases with no diagnostic abnormality (20.3%). ![]() We reviewed 2159 consecutive cases of surgically resected appendices. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |