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Related Experiment Videos

Recurrent appendiceal colic.

A W Lee, R M Bell, W O Griffen

    Surgery, Gynecology & Obstetrics
    |July 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Appendectomies for recurrent right lower quadrant pain, without classic appendicitis symptoms, were performed on 11 patients. Most had abnormal appendices, and surgery resolved pain in all but one case.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Recurrent right lower quadrant pain can present atypically.
    • Appendicitis diagnosis typically relies on classical symptoms.

    Purpose of the Study:

    • To investigate appendectomies performed for recurrent right lower quadrant pain.
    • To evaluate the appendix's condition and patient outcomes in these cases.

    Main Methods:

    • Retrospective review of 1,869 appendectomies (1962-1983).
    • Analysis of 11 cases with recurrent right lower quadrant pain and no classical appendicitis symptoms.
    • Review of diagnostic barium enemas and pathological findings.
    • Follow-up study of 10 patients.

    Main Results:

    Related Experiment Videos

  • 11 patients (0.6%) underwent appendectomy for atypical recurrent right lower quadrant pain.
  • Gross appendiceal abnormalities (fecalith, torsion, narrowing, purulence) were common; 3 specimens were histologically normal.
  • Diagnostic barium enemas were abnormal in 6 of 7 patients.
  • Post-appendectomy pain recurrence occurred in only one of 10 followed patients.

    • Conclusions:

    • Appendectomy can be effective for recurrent right lower quadrant pain, even without classic appendicitis symptoms.
    • Gross appendiceal abnormalities are frequently identified in these cases.
    • Surgical intervention offers significant pain relief for selected patients.