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http://dx.doi.org/10.4274/balkanmedj.galenos.2024.2024-5-34 | DOI Listing |
Am Surg
September 2025
Medical School, Universidade Federal de Ouro Preto, Ouro Preto, Brazil.
IntroductionThe optimal diagnostic pathway for pediatric acute appendicitis (AA) following an inconclusive or negative ultrasonography (US) is poorly defined, leading to debate over subsequent computed tomography (CT) use. This systematic review and meta-analysis compared negative appendectomy rates in children managed with a US-only pathway vs a pathway involving CT after a non-diagnostic initial US.MethodsFollowing PRISMA guidelines (PROSPERO: CRD42024568560), we systematically searched 6 databases, including PubMed and Embase, through July 2024 for longitudinal studies comparing the 2 diagnostic pathways.
View Article and Find Full Text PDFMed Klin Intensivmed Notfmed
September 2025
Klinik für Gastroenterologie und Hepatologie, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Acute abdomen can represent a serious clinical condition with a variety of different and potentially life-threatening underlying causes. Rapid identification of the underlying etiology through a structured approach and the prompt initiation of adequate diagnostic and treatment measures is highly relevant in order to reduce the patient's mortality risk. This article provides an overview of important differential diagnoses of an acute abdomen and describes recommended diagnostic and therapeutic measures that are relevant in acute and emergency clinical care.
View Article and Find Full Text PDFSurgeon
September 2025
Department of Surgery, Hanyu General Hospital, Hanyushi, Saitama, 348-8505, Japan.
Background: Appendicectomy is a well-established surgical procedure used for managing of acute appendicitis. In open appendicectomy, McBurney's point is the surgical landmark for locating the appendix, and it is common practice to make an incision there. However, in this study, we identified the root of the appendix via computed tomography, made an incision around that sites, and performed the appendicectomy through this incision.
View Article and Find Full Text PDFKhirurgiia (Mosk)
September 2025
Burdenko Voronezh State Medical University, Voronezh, Russia.
Objective: To study opinions of pediatric surgeons on technical aspects of laparoscopic appendectomy in children.
Material And Methods: An anonymous survey of surgeons was used as the main research method (Google Forms platform). Invitations were sent to specialized institutions (emergency pediatric surgery departments).
Cureus
August 2025
Radiology, Tempe St. Luke's Hospital, Tempe, USA.
Duplication of the appendix is a rare congenital malformation, classified into various types depending on its location and relation to the cecum. There are no established demographic patterns associated with appendiceal duplication. While the exact cause and mechanism are not entirely understood, duplication of the appendix is thought to arise between weeks six and eight of gestation due to anomalies during the embryological process of midgut rotation.
View Article and Find Full Text PDF