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Are acute exacerbations of chronic inflammatory appendicitis triggered by coprostasis and/or coproliths?

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Author(s): George Sgourakis, Georgios C Sotiropoulos, Ernesto P Molmenti, Charis Eibl, Stylianous Bonticous, Jurgen Moege, Christoph Berchtold

Journal: World Journal of Gastroenterology
ISSN 1007-9327

Volume: 14;
Issue: 20;
Start page: 3179;
Date: 2008;
Original page

Keywords: Chronic inflammatory appendicitis | Coprostasis | Coproliths | Recurrent appendicitis

ABSTRACT
AIM: To examine the role of coprostasis and coproliths in recurrent appendicitis.METHODS: We evaluated four hundred and twenty seven consecutive pathology reports of all appende-ctomy specimens from January 2003 to December 2004. Findings were categorised as showing acute appen-dicitis, acute recurrent appendicitis, subacute recurrent appendicitis, chronic appendicitis, or appendices without inflammation. All patients had presented with acute right lower quadrant pain. In 94 instances, there was a history of recurrent similar episodes in the past.RESULTS: Of the 427 histology reports, 294 were inter-preted as showing acute appendicitis, 56 acute recurrent appendicitis, 34 subacute recurrent appendicitis, 28 chronic appendicitis, and 15 non-inflamed appendices. Coprostasis was observed in 58 patients (13.58%) and the presence of coprolith in 6 (1.4%). Coprostasis, and age, were among the predictors in the final model.CONCLUSION: Coprostasis but not coproliths seems to be a contributing factor to acute exacerbations of chronic inflammatory appendicitis.
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