Acute Appendicitis Research Paper

Acute Appendicitis Research Paper

Acute appendicitis if not trated will proceeds to complications like perforation with generalized peritonitis , phlegmon, or localized abscess formation. Emergency appendectomy has therefore been considered the only treatment solution for acute appendicitis(7, 8). On the other hand, many studies have shown that certain cases of suspected appendicitis can be managed nonoperatively(9, 10).

Reports about normal looking appendix proved that, up to 19% of the appendix that looks normal during open appendectomy in adults were found to have acute inflammation by histopathology (11).



Histopathological examination of the appendiceal spacemen's is of great importance particularly if it was diagnosed laparoscopically as macroscopically normal(12). ... Show more content on Helpwriting.net ...This is agree with other studies which showed that 29% of appendices which were thought to be macroscopically normal were found to be inflamed on subsequent histologic examination(19). Other studies reach the same conclusions, Champault et al suggest that the accuracy of laparoscopy in diagnosing appendicitis is 92%, supporting the fact that some degree of error remains even with direct visualization (20). Chiarugi et al. in a retrospective review of the charts of 48 adults in whom appendectomy was performed in absence of macroscopic pathological findings and the histopathological reports showed pathological changes in 41 % of the patients. The authors therefore recommended that appendectomy should be done in every case(21). Ekeh et al. recommended this decision in the absence of an alternate pathology during laparoscopy. Furthermore, in 9.9 % of the appendectomy for "normal" appendices, histopathological signs of appendicitis were found. However they presented a retrospective analysis that dealt with adult patients(22). In their review, Morrow and Newman recommended removing the appendix in either case when laparoscopy was performed for right iliac fossa pain as the costs were higher, and they compare this against the risk of missing appendicitis and the quandary of what to do with patients with recurrent

... Get more on HelpWriting.net ...