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Related Experiment Videos

Appendicitis over forty

T Stair, M B Corlette

    Annals of Emergency Medicine
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Appendicitis is common in older adults presenting with lower abdominal pain. Delays in diagnosis and treatment, particularly in hospital settings, contribute to complications like perforation in this age group.

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    Area of Science:

    • Gastroenterology
    • Emergency Medicine
    • Geriatric Medicine

    Background:

    • Appendicitis is a frequent cause of undiagnosed lower abdominal pain across all age groups.
    • Older patients presenting with abdominal pain require careful evaluation to rule out appendicitis.

    Purpose of the Study:

    • To estimate the incidence of appendicitis in patients over 40.
    • To establish the clinical profile and diagnostic challenges of appendicitis in older individuals.

    Main Methods:

    • Retrospective review of 616 patient charts from a community hospital emergency department.
    • Analysis focused on patients aged 40 and above presenting with lower abdominal pain.

    Main Results:

    • Appendicitis presented commonly in older patients, similar to younger demographics.

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  • Significant pre-operative delays, leading to perforation, often occurred within the hospital.
  • Barium enema proved to be a safe and effective diagnostic tool in 22 cases.

    • Conclusions:

    • Appendicitis is a prevalent condition in older adults with lower abdominal pain.
    • In-hospital delays are a critical factor in appendiceal perforation among this demographic.
    • Diagnostic imaging, such as barium enema, can aid in timely diagnosis.