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[Differential diagnosis of acute appendicitis and acute viral hepatitis in children]
Vestnik Khirurgii Imeni I. I. Grekova
|February 1, 1982
Insights
Acute virus hepatitis can mimic appendicitis symptoms. Appendectomy for suspected appendicitis in hepatitis patients did not alter disease severity or outcomes.
Area of Science:
- Hepatology
- Gastroenterology
- Surgical Diagnosis
Context:
- Acute virus hepatitis presents with abdominal pain, often mimicking acute appendicitis.
- Differential diagnosis is crucial for appropriate patient management.
- Prodromal hepatitis symptoms can lead to misdiagnosis as appendicitis.
Purpose:
- To analyze the diagnostic challenges of differentiating acute virus hepatitis from acute appendicitis.
- To evaluate the impact of appendectomy on hepatitis patients presenting with appendicitis-like symptoms.
Summary:
- Sixty patients with prodromal acute virus hepatitis and appendicitis symptoms were observed.
- One of six surgically treated patients had phlegmonous appendicitis.
- Appendectomy did not affect the hepatitis disease course, treatment duration, or outcomes.
Impact:
- Highlights the importance of considering hepatitis in appendicitis differential diagnosis.
- Suggests that appendectomy in these cases does not negatively impact hepatitis prognosis.
- Informs clinical practice regarding surgical intervention in potential hepatitis cases presenting as appendicitis.
Abstract:
On the basis of observation of 60 patients in the prodromic period of acute virus hepatitis admitted with symptoms of acute appendicitis the authors discuss problems of differential diagnosis of these diseases. One out of 6 operated patients proved to have phlegmonous appendicitis. The surgical intervention (appendicectomy) did not influence the severity of the disease, terms of the treatment and outcomes of acute virus hepatitis.