The diagnosis and treatment of acute appendicitis in the aged
- 1 March 1986
- journal article
- conference paper
- Published by Wolters Kluwer Health in Diseases of the Colon & Rectum
- Vol. 29 (3) , 170-173
- https://doi.org/10.1007/bf02555015
Abstract
Since the turn of the century, the elderly population, particularly those over the age of 80, has been increasing steadily. Consequently, the surgeon will be confronted frequently with the diagnostic challenge of acute appendictis in this population. Over the past ten years, 13 patients over the age of 80 were treated for acute appendicitis at the St. Lukes-Roosevelt Hospital Center. The mean duration of symptoms was 2.4 days; all patients complained of abdominal pain, with 72 percent of patients having right lower quadrant involvement. Ninety-two percent had perforated prior to surgery, and 23 percent did not survive the disease. This high mortality rate is attributed to both a delay in presentation to the physician and a further delay in proper treatment due to misdiagnosis. This is a disease with which every physician must be familiar and the continually vigilant, as correct diagnosis and prompt treatment are the keys to averting high morbidity and mortality rates.This publication has 8 references indexed in Scilit:
- Appendicitis Near Its CentenaryAnnals of Surgery, 1984
- Evolution of the Age Distribution and Mortality of Acute AppendicitisArchives of Surgery, 1981
- THE CONTINUING CHALLENGE OF PERFORATING APPENDICITIS1980
- Appendicitis in the ElderlyAnnals of Surgery, 1978
- The Regulation of Physiological Changes During Mammalian AgingThe Quarterly Review of Biology, 1976
- AppendicitisArchives of Surgery, 1975
- Incidence and Significance of Intraperitoneal Anaerobic bacteriaAnnals of Surgery, 1975
- SPECIAL PROBLEMS OF ACUTE APPENDICITIS IN MIDDLE AND LATE LIFEArchives of Surgery, 1954