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Appendicitis with perforation: a reminder to internists

H W Murray, R Soave

    Southern Medical Journal
    |June 1, 1980
    PubMed
    Summary
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    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.

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  • Emphasizes the need for prompt diagnosis and management to reduce morbidity and mortality.