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Appendicitis: Studies
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Acute appendicitis is a medical emergency, so you should seek conventional treatment immediately. Never try to treat appendicitis with alternative therapies. Some studies show that certain herbs and supplements may help to prevent appendicitis, strengthen your immune system, or help you recover faster from surgery.
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MRI: A single retrospective study assessed the accuracy of MRI in 51 pregnant patients with suspected appendicitis in whom ultrasonography was nondiagnostic. Sensitivity, specificity, positive and negative predictive values, and accuracy for MRI was 100%, 93.6%, 91.4%, 100%, and 94.0%, respectively (Pedrosa, 2006).
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The purpose of this study was to examine the clinical features of patients with normal WBC appendicitis and ... to determine whether a higher WBC count correlates with a more advanced stage of appendicitis. Patients with pathologically confirmed appendicitis from January 1989 to December 1994 were included in the study (n = 1919).
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A number of environmental factors involving diet and hygiene have been proposed to be alternate causes of appendicitis, none of which has been studied in detail. According to the Medical Journal of Australia, "Dietary theories, notably an inadequate fibre intake, have been advanced to account for the geography of the disease, but it is clear that diet can not fully explain the epidemiology." [4]
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Right lower quadrant pain is the most common symptom of appendicitis and should alert the physician caring for the pregnant patient to strongly consider this diagnosis. Although older studies suggested that the location of the appendix migrates upward with the enlarging uterus, this theory has been refuted by subsequent studies which showed that the most common symptom of appendicitis, ie, right lower quadrant pain, occurs within a few centimeters of McBurney's point in the vast majority of pregnant women, regardless of the stage of pregnancy [4,9].
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Abdominal CT has become the most important imaging study in the evaluation of patients with atypical presentations of appendicitis. Studies have found a decrease in negative laparotomy rate and appendiceal perforation rate when pelvic CT was used in selected patients with suspected appendicitis (Rao, 1999; McGory, 2005; Harswick, 2006).
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