Background: Acute perforation of the appendix is one of the complications of appendicitis that is associated with increased morbidity and mortality and hence regarded as a surgical emergency. Risk factors for perforated appencidicits include extremes of age, male sex, pregnancy, immunosuppression, comorbid medical conditions and previous abdominal surgery. Objectives: This study focuses on the pattern of presentation, risk factors, morbidity and mortality of patients managed for perforated appendicitis in our centre. Subjects and methods: We conducted a seven-year retrospective review of consecutive adult patients who had surgery for perforated appendicitis in our centre. Results: The perforation rate in the study was The peak age of presentation was between years.

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Free full text. Pan Afr Med J. Published online oct. PMID: Author information Article notes Copyright and License information Disclaimer. Keywords: Appendiculo subcutaneous fistula, appendiceal perforation, acute appendicitis. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Go to:. Open in a separate window. Figure 1. Image en medicine. Spontaneous appendico-cutaneous fistula--a rare complication of acute appendicitis. Complicated appendicitis with unusual complication: appendicovesical fistula. This website requires cookies, and the limited processing of your personal data in order to function. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy.

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[Appendiculo subcutaneous fistula: a rare complication of acute appendicitis].

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Acute Perforated Appendicitis in Adults: Management and Complications in Lagos, Nigeria

And yet the net value of this approach continues to be debated. Laparoscopic appendectomy is associated with a lower complication rate and a shorter period of disability in the general population. While operative costs are higher, the global cost of laparoscopic appendectomy is lower than for open appendectomy. There is a somewhat higher rate of abdominal abscess for the laparoscopic route. Laparoscopic appendectomy shows clear advantages in obese patients and in those with gangrenous or ruptured appendicitis. The laparoscopic approach is contra-indicated during pregnancy due to a higher incidence of miscarriage.

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