Acute appendicitis

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Последний просмотренный: 20 Sep 2025
Last updated: 17 Apr 2025

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • abdominal pain
  • anorexia
  • nausea and vomiting
  • right lower quadrant tenderness
  • tense rigid abdomen
  • hypotension and tachycardia
  • palpable mass
Полная информация

Другие диагностические факторы

  • age of occurrence
  • fever
  • flushed face and a fetor
  • diminished bowel sounds
  • tachycardia
  • loose stool
  • constipation
  • Rovsing sign
  • psoas sign
  • obturator sign
Полная информация

Факторы риска

  • differences in the appendiceal microbiome
  • smoking
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • CBC
  • CRP
  • abdominal and pelvic CT scan
Полная информация

Исследования, проведение которых нужно рассмотреть

  • abdominal ultrasound
  • urinalysis
  • urinary pregnancy test
  • abdominal and pelvic MRI in pregnancy
Полная информация

Неотложные исследования

  • Neutrophil-to-lymphocyte ratio
  • serum sodium
  • pentraxin-3
  • serum amyloid A
  • platelet indices
Полная информация

Алгоритм лечения

Острый

uncomplicated acute appendicitis

ill with perforation or abscess

Составители

Эксперты-консультанты

Peter Szasz, MD, PhD, FRCSC

Assistant Professor

Department of Surgery

Queen's University

Kingston

Ontario

Canada

Раскрытие информации

PS declares that he has no competing interests.

Elisabeth Adderson, MD

Associate Member

St. Jude Children's Research Hospital

Associate Professor of Pediatrics

University of Tennessee Health Sciences Center

Memphis

TN

Раскрытие информации

EA declares that she has no competing interests.

Рецензенты

John M. Davis, MD

General Surgery

Jersey Shore Medical Center

Neptune

NJ

Раскрытие информации

JMD declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Di Saverio S, Podda M, De Simone B, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. 2020 Apr 15;15(1):27.Полный текст  Аннотация

American College of Radiology. ACR appropriateness criteria: right lower quadrant pain - suspected appendicitis. 2022 [internet publication].Полный текст

Sartelli M, Chichom-Mefire A, Labricciosa FM, et al. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg. 2017 Jul 10;12:29.Полный текст  Аннотация

Статьи, указанные как источники

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