Clinical, ultrasonographic, and pathologic characteristics of XXXX with chronic right-lower-quadrant abdominal pain that may benefit from appendectomy.

@entity1 @entity32 @entity82 @entity102 @entity12512 @entity158 @entity1118
BACKGROUND: @entity1118 of the @entity12512 ( @entity12512 ) remain a challenging problem worldwide, especially in areas with limited technical background; @entity102 is still a subject of controversy. The aim of this study was to analyze the clinical and paraclinical data of @entity1 with @entity1118 of @entity12512 who had an appendectomy performed. METHODS: During a period of 4 years, all @entity1 presenting with a @entity1118 of the @entity12512 were selected for our study and underwent clinical assessment and systematic ultrasonography of the abdomen; these served as a basis of selecting candidates for appendectomy. The intraoperative findings, histology results, and outcome after appendectomy were analyzed. RESULTS: Three hundred nineteen @entity1 presented with @entity1118 of the @entity12512 of which 213 could be finally analyzed; their mean age was 15.3 years; 192 @entity1 were females. They had @entity158 for 2-8 years. Echography showed a heterogeneous lesion in the @entity12512 in 87% of the cases. The operative findings displayed adhesions and other signs of @entity32 in 182 cases. Pathological analysis frequently revealed @entity82 and lymphoplasmocytic infiltration indicative of @entity32 . Eighty-seven percent of the @entity1 were cured by appendectomy. CONCLUSIONS: There is a chronic process involving the appendix that occurs in the @entity12512 of @entity1 with @entity1118 , typically the adolescent female. Appendectomy usually solves the problem. The criteria for selection of candidates still need to be identified, but in the absence of laparoscopic facilities, we recommend appendectomy when no other cause for the @entity158 has been identified.
