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Chronic appendicitis.

E B Grossmann

    Surgery, Gynecology & Obstetrics
    |April 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Appendectomy offers significant relief for chronic right lower quadrant abdominal pain, particularly when appendicitis is present. Diagnostic accuracy improved with barium enema, as white blood cell counts were unreliable.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Chronic right lower quadrant (RLQ) abdominal pain presents a diagnostic challenge.
    • Appendiceal pathology is a potential, often overlooked, cause of chronic RLQ pain.

    Purpose of the Study:

    • To evaluate the diagnostic utility of preoperative findings and intraoperative pathology in patients with chronic RLQ pain.
    • To assess the efficacy of appendectomy in providing long-term symptom relief.

    Main Methods:

    • Retrospective review of 20 patients with chronic RLQ pain.
    • Analysis of preoperative findings, including white blood cell (WBC) count and barium enema results.
    • Correlation of preoperative findings with intraoperative pathologic findings and long-term outcomes post-appendectomy.

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    Main Results:

    • 13 of 20 patients (65%) had an underlying appendiceal problem.
    • Acute appendicitis was diagnosed in 11 patients, with 8 exhibiting a normal WBC count.
    • Barium enema demonstrated abnormalities in 9 of 10 patients with appendiceal disease, indicating high diagnostic reliability.

    Conclusions:

    • Appendiceal pathology should be considered in the differential diagnosis of chronic RLQ pain.
    • Barium enema is a valuable tool for diagnosing appendiceal issues in this context.
    • Appendectomy provides substantial long-term symptom relief for patients with chronic RLQ pain due to appendiceal pathology.