[Association between appendiceal obstruction and the morphological type of acute appendicitis]. / Asociación entre la obstrucción apendicular y el tipo morfológico de apendicitis aguda.
Rev Gastroenterol Peru
; 35(1): 32-7, 2015 Jan.
Article
in Es
| MEDLINE
| ID: mdl-25875516
ABSTRACT
OBJECTIVE:
Determine if the morphological type of appendicitis is associated with the type of appendiceal obstruction. MATERIAL ANDMETHODS:
A descriptive, observational and prospective study was conducted at the Hospital Belén of Trujillo, during the year 2013.RESULTS:
There were 398 cases that took part of the study. A 54% of patients had between 10 and 29 years old, 55.5% were males and 44.5% females. The average length of the appendix was 7.19 ± 1.6 and 1.14 ± 0.5 cm diameter. Cecal appendices with diameter less than 0.8 did not show acute inflammation. A 16.2% of the appendices were perforated. In 43% a obstruction was evident in the appendiceal lumen, which corresponded to 56.3% for the presence of fecal bolus, 29.9% to bend appendiceal and 4.8% to faecolith. In 5.4% of cases a parasite E.vermicularis was found. A 81.4% of the appendices that had a fecal bolus or faecolith, had severe suppurative appendicitis, gangrene and / or perforation while only 55.4% of the appendices that had hyperplasia or bending presented the most severe morphological types (p <0.05).CONCLUSIONS:
The appendices that had a fecal bolus or a faecolith had a morphological type of appendicitis more severe than those who had other obstructions type. Therefore, there was a statistically the type of obstruction.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Appendicitis
/
Intestinal Obstruction
Type of study:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Rev Gastroenterol Peru
Journal subject:
GASTROENTEROLOGIA
Year:
2015
Document type:
Article