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The standard treatment for acute appendicitis involves the surgical removal of the inflamed appendix. [ 6 ] [ 12 ] This procedure can be performed either through an open incision in the abdomen ( laparotomy ) or using minimally invasive techniques with small incisions and cameras ( laparoscopy ).
The inflammation of the epiploic appendages normally resolves on its own for most patients. It is possible however uncommon for acute epiploic appendagitis to result in adhesion, bowel obstruction, intussusception, intraperitoneal loose body, peritonitis, and/or abscess formation. [2] Treatment consists of reassurance of the patient and analgesics.
The AIR score was developed to overcome some of the drawbacks of the Alvarado score, another diagnostic scoring system for identifying appendicitis. [2] The AIR score is one of the two scores (the other being the Adult Appendicitis Score , AAS) recommended by the 2020 World Society of Emergency Surgery clinical practice guidelines for the ...
Appendicitis occurs when the inside of the appendix gets blocked, which can happen due to a variety of causes, such as stool, germs or more rarely tumors. Surgery is typically necessary when the ...
Alvarado scoring has largely been superseded as a clinical prediction tool by the Appendicitis Inflammatory Response score. [ 2 ] [ 3 ] [ 4 ] Also known by the mnemonic MANTRELS, the scale has 6 clinical items (3 signs and 3 symptoms ) and 2 laboratory measurements, each given an additive point score, with a maximum of 10 points possible. [ 5 ]
Appendicitis develops most commonly in the second trimester. [2] If appendicitis develops in a pregnant woman, an appendectomy is usually performed and should not harm the fetus. [15] The risk of premature delivery is about 10%. [16] The risk of fetal death in the perioperative period after an appendectomy for early acute appendicitis is 3 to 5%.
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Fitz-Hugh–Curtis syndrome occurs almost exclusively in women, though it can be seen in males rarely. [5] It is complication of pelvic inflammatory disease (PID) caused by Chlamydia trachomatis (Chlamydia) or Neisseria gonorrhoeae (Gonorrhea) though other bacteria such as Bacteroides, Gardnerella, E. coli and Streptococcus have also been found to cause Fitz-Hugh–Curtis syndrome on occasion. [6]