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The possibility of peritonitis is the reason why acute appendicitis warrants rapid evaluation and treatment. People with suspected appendicitis may have to undergo a medical evacuation . Appendectomies have occasionally been performed in emergency conditions (i.e., not in a proper hospital) when a timely medical evacuation was impossible.
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. [16] The risk of premature delivery is about 10%. [17] The risk of fetal death in the perioperative period after an appendectomy for early acute appendicitis is 3 to 5%.
Currently, conservative management and surgery are the only treatment options for omental infarction with no consensus as to the best treatment modality. Having both acute appendicitis and omental infarction is extremely rare with only two cases reported in the literature: one in an adult female and the other in a 7-year-old girl. [2]
The sensitivity and specificity of MRI in diagnosing acute appendicitis are 94% and 96% respectively. [2] Laparoscopic surgery has also been used to diagnose the cause of IAIs when imaging is unhelpful. Besides, the laparoscopic surgery can also initiate treatment in the same setting. The accuracy is very high, in the range of 86 to 100%. [2]
Common causes of an acute abdomen include a gastrointestinal perforation, peptic ulcer disease, mesenteric ischemia, acute cholecystitis, appendicitis, diverticulitis, pancreatitis, and an abdominal hemorrhage. However, this is a non-exhaustative list and other less common causes may also lead to an acute abdomen. [3]
Amikacin is an antibiotic medication used for a number of bacterial infections. [9] This includes joint infections, intra-abdominal infections, meningitis, pneumonia, sepsis, and urinary tract infections. [9] It is also used for the treatment of multidrug-resistant tuberculosis. [10] It is used by injection into a vein using an IV or into a ...
Babies, pregnant women, older individuals and those with underlying medical conditions face additional risks of severe illness. Patients and families should have a plan.
CT scan has been shown to be more accurate, than ultrasound in detecting acute appendicitis, [9] but with children and pregnant women, ultrasound may be used to limit radiation exposure. [ 8 ] Treatment