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Recurrent appendicitis

M D Barber1, J McLaren, J B Rainey

  • 1Department of Surgery, St John's Hospital at Howden, Livingston, UK.

The British Journal of Surgery
|January 1, 1997
PubMed
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Recurrent appendicitis is a real condition, affecting at least 6.5% of patients who eventually have their appendix removed. This study confirms its existence and incidence in surgical patients.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Epidemiology

Background:

  • The concept of spontaneous resolution of appendicitis has been debated.
  • Previous literature lacks definitive evidence on the incidence of recurrent appendicitis.

Purpose of the Study:

  • To investigate the existence and incidence of recurrent appendicitis.
  • To differentiate clinical presentations of resolving versus acute appendicitis.

Main Methods:

  • Retrospective analysis of 1084 patients undergoing appendectomy (1982-1991).
  • Inclusion of 60 patients with normal appendix removal for comparison.
  • Utilized patient casenotes and the Alvarado scoring system.

Main Results:

Related Experiment Videos

  • 71 patients (6.5%) experienced recurrent appendicitis symptoms, with spontaneous resolution.
  • Symptom resolution occurred between 3 weeks and 12 years prior to appendectomy.
  • Significant differences in Alvarado scores were observed between resolving, normal, and inflamed appendix groups.

    • Conclusions:

    • Recurrent appendicitis is a validated clinical entity.
    • At least 6.5% of patients undergoing appendectomy have experienced recurrent appendicitis.
    • Distinct clinical profiles exist for patients with resolving appendicitis compared to those with acute or normal appendix findings.