Incidental appendectomy? Microscopy tells another story: A retrospective cohort study in patients presenting acute right lower quadrant abdominal pain
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- 作者：Dario Tartaglia ; Andrea Bertolucci ; andreabertolucci83@hotmail.com" class="auth_mail" title="E-mail the corresponding author ; Christian Galatioto ; Matteo Palmeri ; Gregorio Di franco ; Rita Fantacci ; Niccolò ; Furbetta ; Massimo Chiarugi
- 关键词：Abdominal pain ; Normal appendix ; Appendicitis ; Laparoscopic appendectomy
- 刊名：International Journal of Surgery
- 出版年：2016
- 出版时间：April 2016
- 年：2016
- 卷：28
- 期：Complete
- 页码：149-152
- 全文大小：201 K
文摘
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Only 24% of macroscopically normal appendices during laparoscopy for acute lower abdominal pain are histologically normal.
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The majority of normal-looking appendices showed a catarrhal inflammation without serosa involvement at histology.
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A 2% of the innocent appendices showed a neuroendocrine tumor leading the patients to receive further treatments.
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Appendectomy should be performed in all diagnostic laparoscopies for acute lower abdominal pain showing a normal appendix.