Lavalle VA, Flores NG, Silva GMS, Landa GRÁ

Language: Spanish
References: 17
Page: 165-168
PDF size: 48.84 Kb.

ABSTRACT

Objective. To study the association of appendicoliths in children with appendicitis in regard to the clinic feature of the disease, days of evolution, radiographic and laboratory findings, and complications.
Subjects and methods. It is a comparative and retrospective study in 198 children with 2 to 15 years old, they were divided in two groups of 99 children. Group A with appendicoliths and group B without it.
Results. The significative differences in favor of group A were: nauseas, vomiting, intestinal ileum in X ray, lymphopenia, complicated appendicitis and more nosocomial days. Group B had more cases of nodular hyperplasic.
Conclusion. The appendicoliths are associated with complicated appendicitis and could be to play an important roll in this disease.

REFERENCES

1. Baeza HC. Apendicitis. En: Baeza HC. Manual de procedimientos quirúrgicos en pediatría. JGH editores, México DF, 1a reimpresión 1999: 106-111.

2. Tovilla MJM, De la Torre ML, Nieto ZJ. Abdomen agudo en el niño. En: Nieto ZJ, Bracho BE. Cirugía para el pediatra. 1a ed. México DF, McGraw-Hill Interamericana Editores, 2001: 40-4.

3. Baeza HC, Guido O. Apendicitis en menores de tres años. Rev Gastroent Mex 1994; 59: 213-7.

4. Anderson KD, Parry RL. Appendicitis. In: O’neill JA, Rowe MI, GRosfeld JL, Fonkalsrud EW, Coran AG. Pediatric surgery. 5th ed. : 1369-79.

5. Ellis H. Apéndice. En: Schwartz ST, Ellis H, Gowles HW. Operaciones abdominales. 8a ed. Buenos Aires Argentina. Ed Médica Panamericana 1986: 1224-5.

6. Horst M, Eich GF, Sacher P. Postappendectomy abscess-the role of fecaliths. Swiss Surg 2001; 7: 205-8.

7. Horman M, Kreuzer S, Sacher P, Eich GF. Abscesses after appendectomy due to intraoperative retaining of fecalith. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfhar 2001; 173: 720-3.

8. Rothrock SG, Pagane J. Acute appendicitis in children: Emergency department diagnosis and management. Ann Emerg Med 2000; 36:

9. Ramachandran P, Sivit CJ, Newman KD, Scwartz MZ. Ultrasonography as an adjunct in the diagnosis of acute appendicitis: a 4-year experience. J Pediatr Surg 1996; 31: 164-7.

10. Lowe LH, Penney MW, Perez RJr, Stein SM, Heller RM, Shyr Y et al. Appendicolith revealed on CT in children with suspect appendicitis: How specific is it in the diagnosis of appendicitis. AJR 2000; 175: 881-4.

11. Ebram NJ, Celano RM, Lanzoni VF, Juliano Y, Novo NF, Cauduro AB et al. Acute appendicitis: experimental model in rabbits. Arq Gastroenterol 2000; 37: 114-9.

12. Carr NJ. The pathology of acute appendicitis. Annals Diag Pathol 2000; 4: 46-58.

13. Flores NG, Jamaica BML, Landa GRA, Parraguirre MS, Lavalle VA. Apendicitis en la etapa pediátrica; correlación clínico-patológica. Bol Med Hosp Infant Mex 2005; 62: 195-201.

14. Alobaidi M, Shirkhoda A. Value of bone window settings on CT for revealing appendicoliths in patients with appendicitis. AJR 2003; 180: 201-5.

15. Elangovan S, Knapp DP, Kallail KJ. Incidence of acute appendicitis confirmed by histopathologic diagnosis. Kans Med 1997: 98; 10-3.

16. Maenza RL, Smith L, Wolfson AB. The myth of fecalith. Am J Emerg Med 1996; 14: 394-7.

17. Kaiserling E. Newly-formed lymph nodes in the submucosal in chronic inflammatory bowel disease. Lymphology 2001; 34: 22-9.