From this study, it can be concluded that patients who meet the following criteria are more likely to fail expectant management and thus should not be considered for the NOM of uncomplicated acute appendicitis. These include the duration of symptoms before presenting to a surgical emergency , the presence of fever within 24 hours of presenting to a surgical emergency, TLC cells/dL, CRP mg/L, appendix diameter mm, modified Alvarado score , and adult appendicitis score .
Male or female patients é diagnosis of acute appendicitis .
Patients with ages: from 16 to 60 years old.
complicated AA (appendicolith, perforation, peri appendicular abscess or suspicion of a tumor).
inflammatory bowel disease.
inability to co-operate and give informed consent.
diffuse peritonitis.
Male or female patients é diagnosis of acute appendicitis Patients with ages: from 16 to 60 years old
Cohort
Prospective
ceftriaxone
Drugceftriaxone 1 gm/12 hourly and IV metronidazole 500 mg/8 hourly
ceftriaxone 1 gm/12 hourly and IV metronidazole 500 mg/8 hourly
DrugConservative management
Risk factors of failure of conservative treatment in acute non complicated appendicitis
modified Alvarado score and adult appendicitis score
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Ahmed Mohammed Hussein Sayed
Lead sponsor
Assiut University
Sponsor institution
Assiut University
Collaborator
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