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Some factors affecting perforation in acute appendicitis

Arnbjornsson, E. LU (1983) In Annales Chirurgiae et Gynaecologiae 72(2). p.50-52
Abstract

When acute appendicitis progresses to perforation, the consequences often lead to prolonged and difficult convalescence or even to death. It was of interest therefore to study a sample of patients with acute appendicitis and to investigate what factors appear to affect perforation in acute appendicitis. A series is presented of 248 patients with acute appendicitis. Seventy-seven of these were found to have perforated or gangrenous appendix at operation. The results showed that perforation of the appendix is strongly influenced by patient factors, the length of the prehospitalization phase of illness and age. Furthermore, patients with a previous history of episodes of right lower abdominal pain not leading to operation, had a higher... (More)

When acute appendicitis progresses to perforation, the consequences often lead to prolonged and difficult convalescence or even to death. It was of interest therefore to study a sample of patients with acute appendicitis and to investigate what factors appear to affect perforation in acute appendicitis. A series is presented of 248 patients with acute appendicitis. Seventy-seven of these were found to have perforated or gangrenous appendix at operation. The results showed that perforation of the appendix is strongly influenced by patient factors, the length of the prehospitalization phase of illness and age. Furthermore, patients with a previous history of episodes of right lower abdominal pain not leading to operation, had a higher frequency of perforation of the appendix. Perforation of the appendix was slightly more frequent among men, and among patients with concomitant chronic or malignnant diseases, but the difference was not statistically significant. These findings might help to individualize the approach of the surgeon to the patient with suspected acute appendicitis and influence the clinical strategy.

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author
organization
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Contribution to journal
publication status
published
subject
in
Annales Chirurgiae et Gynaecologiae
volume
72
issue
2
pages
3 pages
publisher
Finnish Surgical Society
external identifiers
  • scopus:0020503674
ISSN
0355-9521
language
English
LU publication?
yes
id
feb5e8f2-2434-4a95-8e2d-c0318246757f
date added to LUP
2018-11-09 09:43:49
date last changed
2019-01-06 14:14:00
@article{feb5e8f2-2434-4a95-8e2d-c0318246757f,
  abstract     = {<p>When acute appendicitis progresses to perforation, the consequences often lead to prolonged and difficult convalescence or even to death. It was of interest therefore to study a sample of patients with acute appendicitis and to investigate what factors appear to affect perforation in acute appendicitis. A series is presented of 248 patients with acute appendicitis. Seventy-seven of these were found to have perforated or gangrenous appendix at operation. The results showed that perforation of the appendix is strongly influenced by patient factors, the length of the prehospitalization phase of illness and age. Furthermore, patients with a previous history of episodes of right lower abdominal pain not leading to operation, had a higher frequency of perforation of the appendix. Perforation of the appendix was slightly more frequent among men, and among patients with concomitant chronic or malignnant diseases, but the difference was not statistically significant. These findings might help to individualize the approach of the surgeon to the patient with suspected acute appendicitis and influence the clinical strategy.</p>},
  author       = {Arnbjornsson, E.},
  issn         = {0355-9521},
  language     = {eng},
  month        = {01},
  number       = {2},
  pages        = {50--52},
  publisher    = {Finnish Surgical Society},
  series       = {Annales Chirurgiae et Gynaecologiae},
  title        = {Some factors affecting perforation in acute appendicitis},
  volume       = {72},
  year         = {1983},
}