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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinical, ultrasonographic, and pathologic characteristics of patients with chronic right-lower-quadrant abdominal pain that may benefit from appendectomy
World Journal of Surgery, Volume 35, No. 4, Year 2011
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Description
Background: Chronic pains of the right lower quadrant of the abdomen (RLQA) remain a challenging problem worldwide, especially in areas with limited technical background; chronic appendicitis is still a subject of controversy. The aim of this study was to analyze the clinical and paraclinical data of patients with chronic pains of RLQA who had an appendectomy performed. Methods: During a period of 4 years, all patients presenting with a chronic pain of the RLQA were selected for our study and underwent clinical assessment and systematic ultrasonography of the abdomen; these served as a basis of selecting candidates for appendectomy. The intraoperative findings, histology results, and outcome after appendectomy were analyzed. Results: Three hundred nineteen patients presented with chronic pains of the RLQA of which 213 could be finally analyzed; their mean age was 15.3 years; 192 patients were females. They had pains for 2-8 years. Echography showed a heterogeneous lesion in the RLQA in 87% of the cases. The operative findings displayed adhesions and other signs of chronic inflammation in 182 cases. Pathological analysis frequently revealed fibrosis and lymphoplasmocytic infiltration indicative of chronic inflammation. Eighty-seven percent of the patients were cured by appendectomy. Conclusions: There is a chronic process involving the appendix that occurs in the RLQA of patients with chronic pains, typically the adolescent female. Appendectomy usually solves the problem. The criteria for selection of candidates still need to be identified, but in the absence of laparoscopic facilities, we recommend appendectomy when no other cause for the pain has been identified. © 2011 Société Internationale de Chirurgie.
Authors & Co-Authors
Chichom-Mefire, Alain
Cameroon, Buea
University of Buea
Tchounzou, Robert
Cameroon, Buea
University of Buea
Kuwong, Patrick M.
Cameroon, Bafoussam
Regional Hospital
Atangana, J.
Cameroon, Yaounde
Centre Pasteur du Cameroun
Lysinge, Albert C.
Cameroon, Bafoussam
Regional Hospital
Malonga, Eimo E.
Cameroon
Center Region
Statistics
Citations: 14
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1007/s00268-011-0980-3
ISSN:
03642313
e-ISSN:
14322323
Participants Gender
Female