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What Causes Severe Abdominal Pain?
Question: my relative was suffering from abdominal pain since 5 days in last year, after done USG doctor suggested Surgery and performed. Now my concern is doctor said patient had perforated appendix and charged according to emergency procedure, can you please guide me whether USG confirms the same.
Brief Answer:
Please give additional information
Detailed Answer:
Hi.
Thanks for your query.
Read the history provided by you and seen the Ultrasonography report.
The report shows:
blind ended, non-compressible, non-peristaltic tubular structure in right iliac fossa with inflamed adjacent mesentery - 9 mm in diameter, 3 O'clock in position and 6 cm in length.
If the patient has been in pain recently, the best option is to removed this as an emergency surgery to avoid further complications.
Patient is 15 year old female hence appendectomy should be done.
As per your question - the USG is an indicative procedure, definitely confirms whether this is appendicitis or not but since this is an investigation, it has its own limitations and false positive or false negative things are always observed on actual surgery. It can not show sealed perforation.
What was written on discharge ticket and other investigations is important and most important is the clinical examination of tenderness, rebound tenderness and such things as rebound tenderness is taken as a sign of peritonitis and perforation.
Please give more information.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Please give additional information
Detailed Answer:
Hi.
Thanks for your query.
Read the history provided by you and seen the Ultrasonography report.
The report shows:
blind ended, non-compressible, non-peristaltic tubular structure in right iliac fossa with inflamed adjacent mesentery - 9 mm in diameter, 3 O'clock in position and 6 cm in length.
If the patient has been in pain recently, the best option is to removed this as an emergency surgery to avoid further complications.
Patient is 15 year old female hence appendectomy should be done.
As per your question - the USG is an indicative procedure, definitely confirms whether this is appendicitis or not but since this is an investigation, it has its own limitations and false positive or false negative things are always observed on actual surgery. It can not show sealed perforation.
What was written on discharge ticket and other investigations is important and most important is the clinical examination of tenderness, rebound tenderness and such things as rebound tenderness is taken as a sign of peritonitis and perforation.
Please give more information.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir,
Thank you for the concern and care, but hospital told us perforation was happened and charged us ICU and Other EMS. Please help us whether perforation was noted.
prescription and discharge summary attached. Please do the needful.
Thank you for the concern and care, but hospital told us perforation was happened and charged us ICU and Other EMS. Please help us whether perforation was noted.
prescription and discharge summary attached. Please do the needful.
Brief Answer:
Acute appendicitis.
Detailed Answer:
Hi.
Seen the additional postings.
Discharge summery is bit hazy please re-post and post any other papers.
As per the reports you have submitted, the diagnosis is acute appendicitis.
Whether perforated or not, if the case has been done on an emergency basis, hospital can charge for emergency services and the patient is usually kept in ICU for a day.
There is a terminology as eminent perforation of appendicitis, have they used this word; this means that perforation can occur anytime depending upon the clinical evaluation for which emergency surgery is done to avoid further complications, particularly in young female patients.
Acute appendicitis.
Detailed Answer:
Hi.
Seen the additional postings.
Discharge summery is bit hazy please re-post and post any other papers.
As per the reports you have submitted, the diagnosis is acute appendicitis.
Whether perforated or not, if the case has been done on an emergency basis, hospital can charge for emergency services and the patient is usually kept in ICU for a day.
There is a terminology as eminent perforation of appendicitis, have they used this word; this means that perforation can occur anytime depending upon the clinical evaluation for which emergency surgery is done to avoid further complications, particularly in young female patients.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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