Document Detail


Ultrasonographic findings after conservative treatment of acute appendicitis and open appendicectomy.
MedLine Citation:
PMID:  7710799     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a randomized study we investigated the effects of antibiotics as the only treatment in acute appendicitis. Forty patients were examined, 19 after antibiotic treatment (one operated due to perforation) and 21 after surgery. All patients were examined prior to randomization, after 10 days and after 30 days. Of the positive ultrasonographic (US) findings, 18 (86%) of the 21 operated patients had histologically proven acute appendicitis. At the 10th day, 9 patients had a seroma under the scar, which had disappeared a month after surgery in all patients. In the 19 patients conservatively treated with antibiotics, the appendix could be visualized in 8 symptom-free cases on the 10th day. In 5 of the 8 patients the appendix was still visualized after 1 month. Three of these 5 had recurrent appendicitis within a year. It is concluded that US can be used not only in diagnosing acute appendicitis, but also in the evaluation of treatments such as antibiotics.
Authors:
S Eriksson; A Tisell; L Granström
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  36     ISSN:  0284-1851     ISO Abbreviation:  Acta Radiol     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-05-12     Completed Date:  1995-05-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  173-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Karolinska Institute and Danderyd Hospital, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Anti-Bacterial Agents / therapeutic use*
Appendectomy*
Appendicitis / drug therapy*,  surgery*,  ultrasonography
Appendix / ultrasonography*
Female
Humans
Male
Time Factors
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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