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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

754
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...
754
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

155
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...
155
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

189
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
189
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

554
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
554
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

81
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
81
Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

529
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
529

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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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A rare case of a herniated acute appendicitis.

Suresh Ujjal1, Rasmus Kroijer1

  • 1Department of General Surgery, Hospital of Southwest Jutland, Esbjerg 6700, Denmark.

Journal of Surgical Case Reports
|February 24, 2022
PubMed
Summary

A rare case of acute appendicitis (AA) herniated into a retro-psoas muscle defect highlights diagnostic challenges. Utilizing AA scoring algorithms can improve decision-making, reduce imaging, and prevent unnecessary surgeries.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Diagnostics

Background:

  • Acute appendicitis (AA) is a prevalent cause of acute abdomen globally, with potential for severe complications like sepsis and death if untreated.
  • Prompt diagnosis and management are crucial for favorable patient outcomes in acute abdominal conditions.

Observation:

  • This report details an exceptionally rare case of acute appendicitis presenting as a retro-psoas muscle defect herniation.
  • The unusual anatomical presentation led to delayed diagnosis and management in the affected patient.

Findings:

  • The case underscores the diagnostic difficulties posed by atypical presentations of acute appendicitis.
  • Appendiceal herniation into a retro-psoas defect is a previously undocumented phenomenon in medical literature.

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Implications:

  • This case highlights the critical importance of employing standardized diagnostic tools, such as appendicitis scoring algorithms.
  • Implementing these algorithms can enhance clinical decision-making, optimize the utilization of diagnostic imaging, and minimize negative exploratory surgeries.