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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
346
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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[Acute appendicitis after colonoscopy].

Anders Bo Nielsen, Tobias Kielsgaard Kristensen, Ivan Arsic

  • 1nielsenm@post7.tele.dk.

Ugeskrift for Laeger
|January 19, 2021
PubMed
Summary
This summary is machine-generated.

A rare complication following colonoscopy, acute appendicitis, occurred in a 44-year-old woman. This case highlights the importance of considering appendicitis after recent colonoscopy, even with prior sigmoiditis.

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Area of Science:

  • Gastroenterology and Surgical Case Reports
  • Diagnostic Imaging and Interventional Procedures

Background:

  • Colonoscopy is a common endoscopic procedure for colorectal examination.
  • Severe complications post-colonoscopy are infrequent, but vigilance is crucial.
  • Previous sigmoid colon inflammation was noted in the patient weeks prior.

Observation:

  • A 44-year-old female presented to the emergency department 24 hours after an outpatient colonoscopy.
  • The colonoscopy procedure itself was uncomplicated.
  • The patient had a history of lower abdominal pain and sigmoid colon inflammation.

Findings:

  • Acute contrast-enhanced CT (CECT) revealed acute appendicitis.
  • Laparoscopy and subsequent histological examination confirmed the diagnosis of appendicitis.
  • The patient's prior CT scan showed acute sigmoid colon inflammation.

Implications:

  • This case underscores the possibility of acute appendicitis as a rare complication following colonoscopy.
  • It emphasizes the need for thorough differential diagnosis in patients presenting with abdominal pain post-colonoscopy.
  • Considering appendicitis in the differential diagnosis is important, especially with a history of prior inflammatory conditions.