Negative appendectomy - Revision history

Michael at 15:35, 4 March 2025

2025-03-04T15:35:32Z

← Older revision		Revision as of 15:35, 4 March 2025
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	*Relatively common.		*Relatively common.
	**Rate higher with ultrasound (US) than computed tomography (CT) (8% versus 4% in one series<ref name=pmid26990317>{{Cite journal \| last1 = Lee \| first1 = J. \| last2 = Ko \| first2 = Y. \| last3 = Ahn \| first3 = S. \| last4 = Park \| first4 = JH. \| last5 = Kim \| first5 = HJ. \| last6 = Hwang \| first6 = SS. \| last7 = Lee \| first7 = KH. \| title = Comparison of US and CT on the effect on negative appendectomy and appendiceal perforation in adolescents and adults: A post-hoc analysis using propensity-score methods. \| journal = J Clin Ultrasound \| volume = \| issue = \| pages = \| month = Mar \| year = 2016 \| doi = 10.1002/jcu.22351 \| PMID = 26990317 }}</ref>).		**Rate higher with ultrasound (US) than computed tomography (CT) (8% versus 4% in one series<ref name=pmid26990317>{{Cite journal \| last1 = Lee \| first1 = J. \| last2 = Ko \| first2 = Y. \| last3 = Ahn \| first3 = S. \| last4 = Park \| first4 = JH. \| last5 = Kim \| first5 = HJ. \| last6 = Hwang \| first6 = SS. \| last7 = Lee \| first7 = KH. \| title = Comparison of US and CT on the effect on negative appendectomy and appendiceal perforation in adolescents and adults: A post-hoc analysis using propensity-score methods. \| journal = J Clin Ultrasound \| volume = \| issue = \| pages = \| month = Mar \| year = 2016 \| doi = 10.1002/jcu.22351 \| PMID = 26990317 }}</ref>).
	**Rate higher in females than males (33% versus 12% in an Indian series assessed with US<ref name=pmid27011482>{{Cite journal \| last1 = Joshi \| first1 = MK. \| last2 = Joshi \| first2 = R. \| last3 = Alam \| first3 = SE. \| last4 = Agarwal \| first4 = S. \| last5 = Kumar \| first5 = S. \| title = Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? \| journal = Indian J Surg \| volume = 77 \| issue = Suppl 3 \| pages = 913-7 \| month = Dec \| year = 2015 \| doi = 10.1007/s12262-014-1063-0 \| PMID = 27011482 }}</ref>).		**Rate higher in females than males (33% versus 12% in an Indian series assessed with ultrasound<ref name=pmid27011482>{{Cite journal \| last1 = Joshi \| first1 = MK. \| last2 = Joshi \| first2 = R. \| last3 = Alam \| first3 = SE. \| last4 = Agarwal \| first4 = S. \| last5 = Kumar \| first5 = S. \| title = Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? \| journal = Indian J Surg \| volume = 77 \| issue = Suppl 3 \| pages = 913-7 \| month = Dec \| year = 2015 \| doi = 10.1007/s12262-014-1063-0 \| PMID = 27011482 }}</ref>).
	*Used for quality control among general surgeons.		*Used for quality control among general surgeons.

Michael at 16:12, 30 November 2023

2023-11-30T16:12:45Z

← Older revision		Revision as of 16:12, 30 November 2023
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	DDx:		DDx:
	*[[Acute appendicitis]].		*[[Acute appendicitis]].
			*[[Interval appendectomy]] - clinical history is essential.
			**Often have chronic inflammation and fibrosis. May have active inflammation.
	*[[Adenovirus appendicitis]].		*[[Adenovirus appendicitis]].
	*[[Appendiceal neuroendocrine tumour]].		*[[Appendiceal neuroendocrine tumour]].

Michael: /* Microscopic */

2018-12-14T15:53:36Z

Microscopic

← Older revision		Revision as of 15:53, 14 December 2018
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	**Isolated [[periappendicitis]].		**Isolated [[periappendicitis]].
	*[[Crypt cell carcinoma]] - [[AKA]] ''goblet cell carcinoid''.		*[[Crypt cell carcinoma]] - [[AKA]] ''goblet cell carcinoid''.
			*Appendix with ''[[Enterobius vermicularis]]'' - organisms in the lumen of the appendix.

	==Sign out==		==Sign out==

Michael: /* Suspected fecal impaction */

2016-05-05T14:45:43Z

Suspected fecal impaction

← Older revision		Revision as of 14:45, 5 May 2016
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	The sections show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.		The sections show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.

	No intraluminal pathologic micro-organisms are seen. There is no serositis. There is no distortion of the crypt architecture. No granulomas are identified. No cryptitis is identified.		No intraluminal pathologic micro-organisms are seen. There is no serositis. There is no distortion of the crypt architecture. No granulomas are identified. No cryptitis is identified. No mass lesion is present.

	==See also==		==See also==

Michael: /* Micro */

2016-05-05T14:45:15Z

Micro

← Older revision		Revision as of 14:45, 5 May 2016
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	====Alternate====		====Alternate====
	The ~~section~~ show appendiceal wall without increased numbers of neutrophils. The		The sections show appendiceal wall without increased numbers of neutrophils. The
	appendiceal lumen has cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue		appendiceal lumen has cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue
	with germinal centre formation.		with germinal centre formation.
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	====Suspected fecal impaction====		====Suspected fecal impaction====
	The ~~section~~ show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.		The sections show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.

	No intraluminal pathologic micro-organisms are seen. There is no serositis. There is no distortion of the crypt architecture. No granulomas are identified. No cryptitis is identified.		No intraluminal pathologic micro-organisms are seen. There is no serositis. There is no distortion of the crypt architecture. No granulomas are identified. No cryptitis is identified.

Michael: /* Micro */

2016-05-05T14:42:57Z

Micro

← Older revision		Revision as of 14:42, 5 May 2016
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	is identified.		is identified.

	=====Suspected fecal impaction====		====Suspected fecal impaction====
	The section show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.		The section show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.

Michael: /* Alternate */

2016-05-05T14:42:10Z

Alternate

← Older revision		Revision as of 14:42, 5 May 2016
Line 68:		Line 68:
	distortion of the crypt architecture. No granulomas are identified. No cryptitis		distortion of the crypt architecture. No granulomas are identified. No cryptitis
	is identified.		is identified.

			=====Suspected fecal impaction====
			The section show appendiceal wall without increased numbers of neutrophils. The appendiceal lumen has compact fecal material, cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue with germinal centre formation.

			No intraluminal pathologic micro-organisms are seen. There is no serositis. There is no distortion of the crypt architecture. No granulomas are identified. No cryptitis is identified.

	==See also==		==See also==

Michael: /* References */

2016-05-05T14:40:16Z

References

← Older revision		Revision as of 14:40, 5 May 2016
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	[[Category:Gastrointestinal pathology]]		[[Category:Gastrointestinal pathology]]
	[[Category:~~Diangosis~~]]		[[Category:Diagnosis]]

Michael: /* General */

2016-05-05T14:40:03Z

General

← Older revision		Revision as of 14:40, 5 May 2016
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	==General==		==General==
	*Relatively common.		*Relatively common.
	**Rate higher with ultrasound than CT (8% versus 4% in one series<ref name=pmid26990317>{{Cite journal \| last1 = Lee \| first1 = J. \| last2 = Ko \| first2 = Y. \| last3 = Ahn \| first3 = S. \| last4 = Park \| first4 = JH. \| last5 = Kim \| first5 = HJ. \| last6 = Hwang \| first6 = SS. \| last7 = Lee \| first7 = KH. \| title = Comparison of US and CT on the effect on negative appendectomy and appendiceal perforation in adolescents and adults: A post-hoc analysis using propensity-score methods. \| journal = J Clin Ultrasound \| volume = \| issue = \| pages = \| month = Mar \| year = 2016 \| doi = 10.1002/jcu.22351 \| PMID = 26990317 }}</ref>).		**Rate higher with ultrasound (US) than computed tomography (CT) (8% versus 4% in one series<ref name=pmid26990317>{{Cite journal \| last1 = Lee \| first1 = J. \| last2 = Ko \| first2 = Y. \| last3 = Ahn \| first3 = S. \| last4 = Park \| first4 = JH. \| last5 = Kim \| first5 = HJ. \| last6 = Hwang \| first6 = SS. \| last7 = Lee \| first7 = KH. \| title = Comparison of US and CT on the effect on negative appendectomy and appendiceal perforation in adolescents and adults: A post-hoc analysis using propensity-score methods. \| journal = J Clin Ultrasound \| volume = \| issue = \| pages = \| month = Mar \| year = 2016 \| doi = 10.1002/jcu.22351 \| PMID = 26990317 }}</ref>).
	**Rate higher in females than males (33% versus 12% in an Indian series assessed with US<ref name=pmid27011482>{{Cite journal \| last1 = Joshi \| first1 = MK. \| last2 = Joshi \| first2 = R. \| last3 = Alam \| first3 = SE. \| last4 = Agarwal \| first4 = S. \| last5 = Kumar \| first5 = S. \| title = Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? \| journal = Indian J Surg \| volume = 77 \| issue = Suppl 3 \| pages = 913-7 \| month = Dec \| year = 2015 \| doi = 10.1007/s12262-014-1063-0 \| PMID = 27011482 }}</ref>).		**Rate higher in females than males (33% versus 12% in an Indian series assessed with US<ref name=pmid27011482>{{Cite journal \| last1 = Joshi \| first1 = MK. \| last2 = Joshi \| first2 = R. \| last3 = Alam \| first3 = SE. \| last4 = Agarwal \| first4 = S. \| last5 = Kumar \| first5 = S. \| title = Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? \| journal = Indian J Surg \| volume = 77 \| issue = Suppl 3 \| pages = 913-7 \| month = Dec \| year = 2015 \| doi = 10.1007/s12262-014-1063-0 \| PMID = 27011482 }}</ref>).
	*Used for quality control among general surgeons.		*Used for quality control among general surgeons.

Michael: /* General */

2016-05-05T14:35:55Z

General

← Older revision		Revision as of 14:35, 5 May 2016
Line 4:		Line 4:
	*Relatively common.		*Relatively common.
	**Rate higher with ultrasound than CT (8% versus 4% in one series<ref name=pmid26990317>{{Cite journal \| last1 = Lee \| first1 = J. \| last2 = Ko \| first2 = Y. \| last3 = Ahn \| first3 = S. \| last4 = Park \| first4 = JH. \| last5 = Kim \| first5 = HJ. \| last6 = Hwang \| first6 = SS. \| last7 = Lee \| first7 = KH. \| title = Comparison of US and CT on the effect on negative appendectomy and appendiceal perforation in adolescents and adults: A post-hoc analysis using propensity-score methods. \| journal = J Clin Ultrasound \| volume = \| issue = \| pages = \| month = Mar \| year = 2016 \| doi = 10.1002/jcu.22351 \| PMID = 26990317 }}</ref>).		**Rate higher with ultrasound than CT (8% versus 4% in one series<ref name=pmid26990317>{{Cite journal \| last1 = Lee \| first1 = J. \| last2 = Ko \| first2 = Y. \| last3 = Ahn \| first3 = S. \| last4 = Park \| first4 = JH. \| last5 = Kim \| first5 = HJ. \| last6 = Hwang \| first6 = SS. \| last7 = Lee \| first7 = KH. \| title = Comparison of US and CT on the effect on negative appendectomy and appendiceal perforation in adolescents and adults: A post-hoc analysis using propensity-score methods. \| journal = J Clin Ultrasound \| volume = \| issue = \| pages = \| month = Mar \| year = 2016 \| doi = 10.1002/jcu.22351 \| PMID = 26990317 }}</ref>).
	**Rate higher in females than males (33% versus 12% in a series assessed with ~~ultrasound in India~~<ref name=pmid27011482>{{Cite journal \| last1 = Joshi \| first1 = MK. \| last2 = Joshi \| first2 = R. \| last3 = Alam \| first3 = SE. \| last4 = Agarwal \| first4 = S. \| last5 = Kumar \| first5 = S. \| title = Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? \| journal = Indian J Surg \| volume = 77 \| issue = Suppl 3 \| pages = 913-7 \| month = Dec \| year = 2015 \| doi = 10.1007/s12262-014-1063-0 \| PMID = 27011482 }}</ref>).		**Rate higher in females than males (33% versus 12% in an Indian series assessed with US<ref name=pmid27011482>{{Cite journal \| last1 = Joshi \| first1 = MK. \| last2 = Joshi \| first2 = R. \| last3 = Alam \| first3 = SE. \| last4 = Agarwal \| first4 = S. \| last5 = Kumar \| first5 = S. \| title = Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? \| journal = Indian J Surg \| volume = 77 \| issue = Suppl 3 \| pages = 913-7 \| month = Dec \| year = 2015 \| doi = 10.1007/s12262-014-1063-0 \| PMID = 27011482 }}</ref>).
	*~~Use~~ for quality control among general surgeons.		*Used for quality control among general surgeons.

	==Gross==		==Gross==