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Facial expression in acute appendicitis

N J Odom

    Annals of the Royal College of Surgeons of England
    |July 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Gentle abdominal pressure can elicit a specific facial expression in some patients with acute appendicitis. This characteristic grimace may serve as a valuable diagnostic indicator for this common surgical emergency.

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    Area of Science:

    • Medical Diagnostics
    • Surgical Pathology

    Background:

    • Acute appendicitis is a common surgical emergency.
    • Accurate and timely diagnosis is crucial for effective treatment and preventing complications.

    Purpose of the Study:

    • To investigate the diagnostic utility of a specific facial expression elicited by abdominal palpation in acute appendicitis.

    Main Methods:

    • Observational study involving patients presenting with symptoms suggestive of acute appendicitis.
    • Application of gentle abdominal pressure during physical examination.
    • Documentation of patient facial expressions in response to palpation.

    Main Results:

    • A characteristic facial expression was observed in a subset of patients with acute appendicitis upon gentle abdominal pressure.

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  • This facial grimace correlated with the presence of acute appendicitis.

    • Conclusions:

    • The facial expression induced by abdominal palpation may be a useful, non-invasive sign in the clinical diagnosis of acute appendicitis.
    • Further research is warranted to validate this sign in larger, diverse patient populations.