Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2000 January-February;55(1-2) > Minerva Chirurgica 2000 January-February;55(1-2):39-44

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

ORIGINAL ARTICLES   

Minerva Chirurgica 2000 January-February;55(1-2):39-44

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Recurrent abdominal pain and chronic appendicitis

Leardi S., Delmonaco S., Ventura T., Chiominto A., De Rubeis G., Simi M.


PDF


Background. Chronic appendicitis may be the cause of recurrent abdominal pain. This hypothesis is the subject of controversy. The aim is to clarify the possible existence of a chronic inflammation of the appendix by a clinical and histopathologic study.
Methods. The case history and the preoperative symptoms and serum findings of 269 patients with appendectomy have been studied. All the appendices have been histologically examined. Chronic appendicitis was diagnosed when at least two typical histological factors of chronic inflammation were present. The histological findings of the appendices have been correlated with preoperative clinical and serum findings of the patients. 14-46 months after the appendectomy, the patiens have been examined.
Results. Histological examination revealed 187 cases (69.5%) with acute appendicitis, 44 cases (16.3%) with non disease of appendix and 38 cases (14.2%) with chronic appendicitis. Recurrent abdominal pain and normal leukocyte count were closely correlated (x2=18.3, p<0.001; x2=21.3, p<0.001 respectively) with diagnosis of chronic appendicitis. 81.8% of 33 patients with chronic appendicitis who underwent follow-up had relief of all the symptoms after appendectomy.
Conclusion. Therefore, the study seems to confirm the existence of a clinico-pathological condition that can be defined as chronic appendicitis, resolvable with appendectomy.

top of page