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Appendicitis with perforation: a reminder to internists
Southern Medical Journal
|June 1, 1980
Abstract:
Over a two-year period, four adults with appendicitis were admitted to the medical service with manifestations sufficiently atypical to obscure the correct diagnosis. Perforation of the appendix was found in each, and abscess formation occurred in two cases. One patient died. The experience with these cases reemphasizes the protean manifestations of complicated appendicitis.
Insights
Complicated appendicitis can present with unusual symptoms, making diagnosis difficult. This study highlights the varied presentations of appendicitis, emphasizing the need for careful evaluation in atypical cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendicitis is a common surgical emergency.
- Atypical presentations can delay diagnosis and treatment.
Observation:
- Four adult patients admitted over two years presented with atypical appendicitis symptoms.
- These atypical manifestations obscured the correct diagnosis initially.
Findings:
- All four patients had perforated appendicitis.
- Two patients developed abscesses.
- One patient mortality occurred.
Implications:
- Highlights the diverse clinical presentations of complicated appendicitis.
- Underscores the importance of considering appendicitis in patients with unusual abdominal symptoms.
- Emphasizes the need for prompt diagnosis and management to reduce morbidity and mortality.