Most common surgical emergency of childhood
Incidence rate (per 10,000 person-years):
2 in 0- to 4-year olds,
10 in...
Abdominal pain is most common symptom.
Pain usually begins in the periumbilical ...
IV fluids to correct hypovolemia, electrolyte abnormalities
Broad-spectrum antibiotics (e.g., cefoxitin, piperacillin and tazobactam, or ceftriaxone and metronidazole)
Pain med...
Recovery is rapid.
Prognosis is excellent.
Overall current survival rate in United States is 98%.
It is estimated that 35,000 people die yearly from appendicitis worldwide.
Amyand C. Of an inguinal rupture, with a pin in the appendix caeci, incrusted with stone, and some observations on wounds in the guts. Phil Trans Royal Soc London. 1735;39:329...
541 Appendicitis, unqualified
540.9 Acute appendicitis without mention of peritonitis
540.0 Acute appendicitis with generalized peritonitis
540.1 Acute appendicitis with peritoneal abscess
...
Q: What were historical milestones in the treatment of appendicitis?
A: Milestones include:
1735: Dr. Claudius Amyand performed an appendectomy in a situation of an appendicitis within a right ingui...
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Figure 41.3. CT appearance of appendicitis.
FIGURE 118.1. Perforated appendicitis with abscess and fecalith. The upright abdominal roentgenogram shows numerous dilated loops of bowel and a calcified fecalith <italic>(arrow).</bold> Note that the space between the individual loops indicates the presence of intraperitoneal fluid.
FIGURE 118.1. Perforated appendicitis with abscess and fecalith. The upright abdominal roentgenogram shows numerous dilated loops of bowel...
FIGURE 118.2. Perforated appendicitis with abscess and fecalith. Ultrasonography of the pelvis shows a complex mass <italic>(A)</bold> with a fecalith <italic>(arrow)</bold> producing characteristic acoustic shadowing to the right of the bladder <italic>(B)</bold>.
FIGURE 118.2. Perforated appendicitis with abscess and fecalith. Ultrasonography of the pelvis shows a complex mass <italic>(A)</...
<bold>Figure 8.64. Appendicitis. A.</bold> CT image shows a fecalith in a thickened appendix (<i>arrow</i>). <bold>B.</bold> Image slightly higher shows the thickened appendiceal wall (<i>arrow</i>).
<bold>Figure 8.64. Appendicitis. A.</bold> CT image shows a fecalith in a thickened appendix (<i>arrow</i>). <b...
<bold>FIGURE 117.11</bold> Ultrasonographic appearance of appendicitis. The appendix appears as a thick, noncompressible tubular structure with central hypoechogenicity. The walls are 5 mm thick, over the 3-mm limit for a normal appendix. (Courtesy of Dr. Beverly Coleman, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA.)
<bold>FIGURE 117.11</bold> Ultrasonographic appearance of appendicitis. The appendix appears as a thick, noncompressible tubul...
<bold><italic>Figure 15-33</bold> Acute appendicitis.</bold> A fecalith is wedged into the mouth of the appendix (left).
<bold><italic>Figure 15-33</bold> Acute appendicitis.</bold> A fecalith is wedged into the mouth of the appendix (...