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@article{184191,
author = {Rameez Raja Mallah and Mohammed Shakeel Ansari},
title = {Scientific Augmentation of Acute Appendicitis its Clinical Insights, Diagnostic Strategies, and Treatment Modalities},
journal = {International Journal of Innovative Research in Technology},
year = {2025},
volume = {12},
number = {4},
pages = {566-573},
issn = {2349-6002},
url = {https://ijirt.org/article?manuscript=184191},
abstract = {Acute appendicitis is the most common cause of acute abdomen and a leading indication for emergency surgery worldwide, particularly affecting adolescents and young adults. It typically results from obstruction of the appendiceal lumen by fecaliths, lymphoid hyperplasia, or rarely parasites and tumors, initiating a cascade of mucosal inflammation, bacterial overgrowth, ischemia, and potential perforation. While the classic presentation involves periumbilical pain shifting to the right lower quadrant (McBurney's point), only 50–60% of pediatric cases follow this pattern. Diagnosis combines clinical scoring systems such as the Alvarado score, laboratory markers (e.g., leukocytosis, CRP), and imaging modalities—ultrasound, CT, or MRI—depending on the clinical scenario. Management is either surgical or non-operative; laparoscopic appendectomy remains the gold standard, but non-operative antibiotic therapy has gained traction in select uncomplicated cases. However, surgical management provides a more definitive resolution, especially when complications like perforation or abscess are suspected. Appendicitis-related complications include wound infection, abscess, peritonitis, ileus, and adhesions. Despite advances, diagnostic challenges and variations in presentation, particularly in young children and the elderly, continue to necessitate careful clinical assessment.},
keywords = {Acute appendicitis, Alvarado score, appendectomy, pediatric surgery, abdominal pain, diagnosis, non-operative management, perforation, laparoscopic surgery, complications.},
month = {September},
}
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