Chapter 5. Acute Appendicitis

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer3,4,
  2. Bryan A. Cotton MD, MPH Associate Professor5,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer4,6 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor7
  1. Tom Palser Clinical Research Fellow1,
  2. David J. Humes Lecturer in Surgery2 and
  3. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,4

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch5

Emergency Surgery

Emergency Surgery

How to Cite

Palser, T., Humes, D. J. and Brooks, A. (2010) Acute Appendicitis, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch5

Editor Information

  1. 3

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 4

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 5

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 6

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 7

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. 1

    Royal College of Surgeons of England, London, UK

  2. 2

    Queen's Medical Centre, Department of Surgery, Nottingham, UK

  3. 3

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  4. 4

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172

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Keywords:

  • acute appendicitis;
  • appendicectomy, most common emergency surgical operation;
  • main features of acute appendicitis - abdominal pain and symptoms of systemic illness, fever, loss of appetite and malaise;
  • diagnosis of acute appendicitis - a clinical one;
  • differential diagnosis of acute appendicitis;
  • laboratory and radiological investigations - confirming diagnosis of appendicitis;
  • hypothesis that analgesia may mask the pain - resulting in an incorrect diagnosis with no evidence base;
  • proposed management algorithm for acute appendicitis;
  • appendicitis, common non-obstetric surgical complication during pregnancy - high rate of perforation;
  • appendix mass/abscess

Summary

This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Investigations

  • Complications

  • Special situations

  • Further reading