Chronic and recurrent appendicitis
Acute appendicitis is a well known clinical entity, but many physicians are unwilling to accept appendicitis as a chronic or recurrent illness. Of 225 patients undergoing appendectomy, sixteen (7 per cent) had findings suggestive of chronic, recurrent, or subacute appendicitis. Four patients had chr...
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Veröffentlicht in: | The American journal of surgery 1979-01, Vol.137 (3), p.355-357 |
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creator | Savrin, Ronald A. Clausen, Kathryn Martin, Edward W. Cooperman, Marc |
description | Acute appendicitis is a well known clinical entity, but many physicians are unwilling to accept appendicitis as a chronic or recurrent illness. Of 225 patients undergoing appendectomy, sixteen (7 per cent) had findings suggestive of chronic, recurrent, or subacute appendicitis. Four patients had chronic abdominal pain and histologic findings of chronic inflammation. Nine patients had previous episodes similar to that which resulted in appendectomy. All had acute suppurative appendicitis pathologically. Three patients had only one episode of abdominal pain, but had pathologic evidence of subacute inflammation.
Because this study was retrospective, we suspect that the true incidence of recurrent appendicitis is significantly greater, as reported by others. Indications for operation must be strict, for unless there are specific signs and symptoms of appendiceal disease, appendectomy will often be of no benefit. |
doi_str_mv | 10.1016/0002-9610(79)90066-7 |
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Because this study was retrospective, we suspect that the true incidence of recurrent appendicitis is significantly greater, as reported by others. Indications for operation must be strict, for unless there are specific signs and symptoms of appendiceal disease, appendectomy will often be of no benefit.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(79)90066-7</identifier><identifier>PMID: 434329</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Adult ; Appendectomy ; Appendicitis - diagnosis ; Appendicitis - pathology ; Appendicitis - surgery ; Chronic Disease ; Colitis - diagnosis ; Diagnosis, Differential ; Humans ; Male ; Pain - diagnosis ; Recurrence ; Remission, Spontaneous</subject><ispartof>The American journal of surgery, 1979-01, Vol.137 (3), p.355-357</ispartof><rights>1979</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-d4364d9aeec8acea45a4127fbfb08177d185c277ec8196d34eb432823ed3c26b3</citedby><cites>FETCH-LOGICAL-c385t-d4364d9aeec8acea45a4127fbfb08177d185c277ec8196d34eb432823ed3c26b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9610(79)90066-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/434329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Savrin, Ronald A.</creatorcontrib><creatorcontrib>Clausen, Kathryn</creatorcontrib><creatorcontrib>Martin, Edward W.</creatorcontrib><creatorcontrib>Cooperman, Marc</creatorcontrib><title>Chronic and recurrent appendicitis</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Acute appendicitis is a well known clinical entity, but many physicians are unwilling to accept appendicitis as a chronic or recurrent illness. Of 225 patients undergoing appendectomy, sixteen (7 per cent) had findings suggestive of chronic, recurrent, or subacute appendicitis. Four patients had chronic abdominal pain and histologic findings of chronic inflammation. Nine patients had previous episodes similar to that which resulted in appendectomy. All had acute suppurative appendicitis pathologically. Three patients had only one episode of abdominal pain, but had pathologic evidence of subacute inflammation.
Because this study was retrospective, we suspect that the true incidence of recurrent appendicitis is significantly greater, as reported by others. Indications for operation must be strict, for unless there are specific signs and symptoms of appendiceal disease, appendectomy will often be of no benefit.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Appendectomy</subject><subject>Appendicitis - diagnosis</subject><subject>Appendicitis - pathology</subject><subject>Appendicitis - surgery</subject><subject>Chronic Disease</subject><subject>Colitis - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Male</subject><subject>Pain - diagnosis</subject><subject>Recurrence</subject><subject>Remission, Spontaneous</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYP4qtV_0EVxIboYzWvy2BSk-IKCG12HTHIHI-3MmMwI_ntTp3Tp6nI5537ccxCaEXxLMBF3GGNaaEHwtdQ3GmMhCnmAJkRJXRCl2CGa7C2n6Cylz7wSwtkJOuaMM6on6HL5EdsmuLlt_DyCG2KEpp_broPGBxf6kM7RUW3XCS52c4reHx_els_F6vXpZXm_KhxTZV94zgT32gI4ZR1YXlpOqKyrusKKSOmJKh2VMstEC884VPkFRRl45qio2BRdjdwutl8DpN5sQnKwXtsG2iEZyUuWSTQb-Wh0sU0pQm26GDY2_hiCzbYZs41ttrGN1OavGSPz2WzHH6oN-P3RWEWWF6MMOeN3gGiSC9A48CH30hvfhv_5v6i9cPo</recordid><startdate>19790101</startdate><enddate>19790101</enddate><creator>Savrin, Ronald A.</creator><creator>Clausen, Kathryn</creator><creator>Martin, Edward W.</creator><creator>Cooperman, Marc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19790101</creationdate><title>Chronic and recurrent appendicitis</title><author>Savrin, Ronald A. ; Clausen, Kathryn ; Martin, Edward W. ; Cooperman, Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-d4364d9aeec8acea45a4127fbfb08177d185c277ec8196d34eb432823ed3c26b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Appendectomy</topic><topic>Appendicitis - diagnosis</topic><topic>Appendicitis - pathology</topic><topic>Appendicitis - surgery</topic><topic>Chronic Disease</topic><topic>Colitis - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Male</topic><topic>Pain - diagnosis</topic><topic>Recurrence</topic><topic>Remission, Spontaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Savrin, Ronald A.</creatorcontrib><creatorcontrib>Clausen, Kathryn</creatorcontrib><creatorcontrib>Martin, Edward W.</creatorcontrib><creatorcontrib>Cooperman, Marc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Savrin, Ronald A.</au><au>Clausen, Kathryn</au><au>Martin, Edward W.</au><au>Cooperman, Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic and recurrent appendicitis</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1979-01-01</date><risdate>1979</risdate><volume>137</volume><issue>3</issue><spage>355</spage><epage>357</epage><pages>355-357</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Acute appendicitis is a well known clinical entity, but many physicians are unwilling to accept appendicitis as a chronic or recurrent illness. Of 225 patients undergoing appendectomy, sixteen (7 per cent) had findings suggestive of chronic, recurrent, or subacute appendicitis. Four patients had chronic abdominal pain and histologic findings of chronic inflammation. Nine patients had previous episodes similar to that which resulted in appendectomy. All had acute suppurative appendicitis pathologically. Three patients had only one episode of abdominal pain, but had pathologic evidence of subacute inflammation.
Because this study was retrospective, we suspect that the true incidence of recurrent appendicitis is significantly greater, as reported by others. Indications for operation must be strict, for unless there are specific signs and symptoms of appendiceal disease, appendectomy will often be of no benefit.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>434329</pmid><doi>10.1016/0002-9610(79)90066-7</doi><tpages>3</tpages></addata></record> |
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subjects | Abdomen Adult Appendectomy Appendicitis - diagnosis Appendicitis - pathology Appendicitis - surgery Chronic Disease Colitis - diagnosis Diagnosis, Differential Humans Male Pain - diagnosis Recurrence Remission, Spontaneous |
title | Chronic and recurrent appendicitis |
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