دورية أكاديمية
أعرض في EDS

Acute appendicitis and situs viscerum inversus: radiological and surgical approach-a systematic review.

التفاصيل البيبلوغرافية
العنوان: Acute appendicitis and situs viscerum inversus: radiological and surgical approach-a systematic review.
المؤلفون: Di Buono G; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy. giuseppe.dibuono@unipa.it., Buscemi S; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Galia M; Department of Radiology, University of Palermo, Palermo, Italy., Maienza E; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Amato G; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Bonventre G; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Vella R; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Saverino M; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Grassedonio E; Department of Radiology, University of Palermo, Palermo, Italy., Romano G; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy., Agrusa A; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via L. Giuffrè, 5, 90127, Palermo, Italy.
المصدر: European journal of medical research [Eur J Med Res] 2023 Feb 20; Vol. 28 (1), pp. 85. Date of Electronic Publication: 2023 Feb 20.
نوع المنشور: Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 9517857 Publication Model: Electronic Cited Medium: Internet ISSN: 2047-783X (Electronic) Linking ISSN: 09492321 NLM ISO Abbreviation: Eur J Med Res Subsets: MEDLINE
أسماء مطبوعة: Publication: Jan. 2012- : London : BioMed Central
Original Publication: Munich, Germany : I. Holzapfel, c1995-
مواضيع طبية MeSH: Radiography*, Humans ; Female ; Male ; Child ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Acute Disease ; Diagnosis, Differential
مستخلص: Introduction: Acute appendicitis is one of the most frequent intra-abdominal diseases requiring emergency surgical consult and treatment. The diagnosis of this condition is based on clinical features and radiologic findings. One-third of patients with acute appendicitis present unusual symptoms. There are several circumstances that may cause misdiagnosis and unclear prognostic prediction. Among these, situs viscerum inversus totalis and midgut malrotation can be challenging scenarios, leading to a delay in treatment, especially when these conditions are unknown. We decided to carry on a systematic review of published cases of acute appendicitis in the context of anatomical anomalies.
Methods: We used the MESH terms "appendicitis" AND "situs inversus" AND/OR "gut malrotation" to search for titles and abstracts. Inclusion criteria were patients with clinical and/or radiological diagnosis of acute appendicitis, with conservative or surgical management and with preoperative/intraoperative findings of situs viscerum inversus or gut malrotation. Additionally, previous reviews were examined. Exclusion criteria of the studies were insufficient patient clinical and demographic data.
Results: We included in this review 70 articles concerning 73 cases of acute appendicitis with anatomical anomaly. Patients were aged from 8 to 86 years (median: 27.0 years). 50 were male and 23 were female. 46 patients (63%) had situs viscerum inversus, 24 (33%) had midgut malrotation, 2 (2.7%) had Kartagener's syndrome, one of them (1.4%) had an undetermined anomaly In 61 patients the anatomical anomaly was unknown previously (83.6%), while 16,4% already were aware of their condition.
Conclusion: Acute appendicitis can occur in association of rare anatomical anomalies and in these cases diagnosis can be challenging. Situs viscerum inversus and midgut malrotation should always be considered in the differential diagnosis of a patient with left lower quadrant pain, especially in younger population. Besides clinical features, it is fundamental to implement the diagnostic progress with radiological examination. Laparoscopic approach is useful to identify and treat acute surgical emergency and it is also a diagnostic tool and can be tailored in order to offer the best exposition of the operatory field for each single case.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Acute appendicitis; Kartagener syndrome; Laparoscopic appendectomy; Midgut malrotation; Situs viscerum inversus
SCR Disease Name: Volvulus Of Midgut
تواريخ الأحداث: Date Created: 20230222 Date Completed: 20230223 Latest Revision: 20230224
رمز التحديث: 20240513
مُعرف محوري في PubMed: PMC9940389
DOI: 10.1186/s40001-023-01059-w
PMID: 36805741
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-783X
DOI:10.1186/s40001-023-01059-w