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Related Experiment Videos

Spontaneously resolving acute appendicitis: clinical and sonographic documentation

S Migraine1, M Atri, P M Bret

  • 1Department of Diagnostic Radiology, Montreal General Hospital, McGill University, Quebec, Canada.

Radiology
|October 7, 1997
PubMed
Summary

Mild acute appendicitis can spontaneously resolve in some patients. This study reviewed cases of acute appendicitis that did not require immediate surgery, finding that many cases resolved without intervention.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute appendicitis is a common surgical emergency.
  • A subset of patients may present with mild symptoms and not require immediate surgical intervention.

Purpose of the Study:

  • To document clinical, ultrasound, and pathological findings in patients with acute appendicitis that resolved spontaneously.
  • To identify characteristics of mild acute appendicitis that may not necessitate immediate surgery.

Main Methods:

  • Retrospective review of nine patients diagnosed with acute appendicitis between 1989 and 1995 who did not undergo immediate surgery.
  • Analysis of clinical presentation, ultrasound (US) findings, and pathological data.

Main Results:

  • Seven of nine patients experienced spontaneous pain relief before or shortly after hospital admission.

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  • No patient exhibited signs of peritoneal irritation; appendiceal diameter ranged from 9-12 mm.
  • Follow-up revealed a normal appendix in most non-surgically treated patients, though two experienced recurrent pain.

    • Conclusions:

    • Mild acute appendicitis can resolve spontaneously in a specific patient subgroup.
    • Clinical and US findings can help identify patients with mild appendicitis who may not require immediate surgery.