The diagnostic challenge of postoperative acute appendicitis.

Abstract:

:During the period 1979 to 1989, 0.1% of all cases of acute appendicitis at our institution occurred soon after another operative procedure. The interval between primary operation and appendectomy was 5 to 31 days (mean, 14 days). Signs and symptoms did not differ from those of classical acute appendicitis. Duration of symptoms ranged from 12 hours to 8 days (mean, 2.4 days). Perforation was present in 3 patients, suppurative appendicitis in 1 patient, and acute inflammation in 4 patients. Two of the perforations were associated with abscess formation. Morbidity related to the appendiceal condition included hepatic abscesses, septic shock, and prolonged ileus. There was no mortality. Hospitalization ranged from 6 to 80 days (mean, 12.5 days).

journal_name

World J Surg

journal_title

World journal of surgery

authors

Barr D,van Heerden JA,Mucha P Jr

doi

10.1007/BF01675654

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

526-8; discussion 529

issue

4

eissn

0364-2313

issn

1432-2323

journal_volume

15

pub_type

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