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Acute recurrent appendicitis with appendicolith.

J J Hollerman1, M A Bernstein, S R Kottamasu

  • 1Department of Diagnostic Radiology, University of Minnesota School of Medicine, Minneapolis.

The American Journal of Emergency Medicine
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

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Appendiceal disease includes acute, recurrent, and chronic forms. An appendicolith can indicate appendicitis, even with a history of similar pain, necessitating awareness of less common presentations.

Area of Science:

  • Gastroenterology and General Surgery
  • Pediatric Surgery

Background:

  • Appendiceal disease encompasses acute, recurrent, and chronic presentations, with acute appendicitis being the most frequent.
  • Appendiceal disease can manifest variably in children.
  • Appendicoliths are frequently associated with appendicitis and potential perforation.

Observation:

  • This report details a 3-year follow-up of a patient with an appendicolith experiencing acute recurrent appendicitis.
  • A review of existing literature on appendicoliths is included.
  • The case highlights that prior episodes of right lower quadrant pain do not rule out appendiceal disease in a suitable clinical context.

Findings:

  • Appendicoliths are strongly linked to the development of appendicitis, often complicated by perforation.

Related Experiment Videos

  • Acute recurrent appendicitis is more prevalent than chronic appendicitis.
  • Clinical presentation of appendicitis in children can be highly variable.

    • Implications:

    • Recognizing less common forms of appendicitis, such as recurrent or chronic presentations, is crucial for timely and accurate diagnosis.
    • A history of intermittent right lower quadrant pain should not deter the consideration of appendiceal disease if clinical suspicion is high.
    • Prompt diagnosis and treatment of all appendiceal disease forms are essential to prevent complications like perforation.