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It is also called appendicolith when it occurs in the appendix and is sometimes concurrent with appendicitis. [1] They can also obstruct diverticula. It can form secondary to fecal impaction. A fecaloma is a more severe form of fecal impaction, and a hardened fecaloma may be considered a giant fecalith. The term is from the Greek líthos=stone. [2]
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 ...
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 or using minimally invasive techniques with small incisions and cameras (laparoscopy).
Appendicitis may present with vomiting, abdominal pain, and a small amount of diarrhea in up to 33% of cases. [1] This is in contrast to the large amount of diarrhea that is typical of gastroenteritis. [1] Infections of the lungs or urinary tract in children may also cause vomiting or diarrhea. [1]
A new analysis found that outpatient management of appendicitis with antibiotics is safe for selected patients, which may allow people to avoid hospitalization
However, a recent study demonstrated a sensitivity of only 72% of the Modified Alvarado Score for detection of appendicitis which has led to criticism of the usefulness of the score. Scores of less than five in children were useful for eliminating appendicitis from the differential diagnosis. [9]
About 10% of cases have a more serious cause including gallbladder (gallstones or biliary dyskinesia) or pancreas problems (4%), diverticulitis (3%), appendicitis (2%) and cancer (1%). [2] More common in those who are older, ischemic colitis, [5] mesenteric ischemia, and abdominal aortic aneurysms are other serious causes. [6]
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