LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS

ABSTRACT Background: Worldwide, acute appendicitis (AA) is the most frequent cause of acute surgical abdomen. Although typically associated with pain migrating to the right iliac fossa, AA can also manifest with pain in the left lower quadrant, often linked to anatomical anomalies. Latin America an...

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Main Authors: Fabian A CHAVEZ-ECOS, Mayli M CONDORI-OROSCO, Anahy de la COLINA-SOSA, Sandra S CHAVEZ-MALPARTIDA, Carlos A DAVILA-HERNANDEZ, Alba ZEVALLOS
Format: Article
Language:English
Published: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) 2024-11-01
Series:Arquivos de Gastroenterologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032024000100902&lng=en&tlng=en
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author Fabian A CHAVEZ-ECOS
Mayli M CONDORI-OROSCO
Anahy de la COLINA-SOSA
Sandra S CHAVEZ-MALPARTIDA
Carlos A DAVILA-HERNANDEZ
Alba ZEVALLOS
author_facet Fabian A CHAVEZ-ECOS
Mayli M CONDORI-OROSCO
Anahy de la COLINA-SOSA
Sandra S CHAVEZ-MALPARTIDA
Carlos A DAVILA-HERNANDEZ
Alba ZEVALLOS
author_sort Fabian A CHAVEZ-ECOS
collection DOAJ
description ABSTRACT Background: Worldwide, acute appendicitis (AA) is the most frequent cause of acute surgical abdomen. Although typically associated with pain migrating to the right iliac fossa, AA can also manifest with pain in the left lower quadrant, often linked to anatomical anomalies. Latin America and the Caribbean (LAC) have the highest incidence of AA compared to other regions of the world. Objective: To explore the sociodemographic characteristics; clinical characteristics, and postoperative outcomes in patients with left-sided AA in LAC. Methods: We performed a systematic review including PubMed, Scopus, Web of Science, Embase, LILACS, Dialnet, Redalyc, Scielo, and Google Scholar databases. We considered as inclusion criteria case reports of left-sided appendicitis involving specific anatomical anomalies, and studies conducted in LAC. Morevoer, we assessed methodologic quality using Joanna Briggs Institute tool for case reports. Results: A total of 23 patients were included in 23 case reports. Colombia accounted for the majority of left-sided AA cases. The median age was 37 years (8-65). Initial pain location was diffuse abdominal pain (39.1%), pain was refered (n=5; 55.6%) and migrated (n=11; 78.6%) mainly to left iliac fossa. Situs inversus totalis (SIT) was the most prevalent anatomical anomaly (69.6%), while laparotomy emerged as the predominant surgical approach (65.2%). Conclusion: Considering left-sided AA in the diagnosis of adults with diffuse abdominal pain towards the left lower quadrant is crucial. SIT is the primary associated anatomical variation. These emphasize the significance of understanding atypical presentations for effective management in the LAC population.
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publishDate 2024-11-01
publisher Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
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spelling doaj-art-d78ed5a0bae1467b803c3b5dc637456d2024-11-26T07:45:25ZengInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)Arquivos de Gastroenterologia1678-42192024-11-016110.1590/s0004-2803.24612024-029LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTSFabian A CHAVEZ-ECOShttps://orcid.org/0000-0001-5637-2397Mayli M CONDORI-OROSCOhttps://orcid.org/0000-0003-1218-0881Anahy de la COLINA-SOSAhttps://orcid.org/0000-0002-4747-3572Sandra S CHAVEZ-MALPARTIDAhttps://orcid.org/0000-0003-3519-5189Carlos A DAVILA-HERNANDEZhttps://orcid.org/0000-0003-1737-9873Alba ZEVALLOShttps://orcid.org/0000-0001-5567-9733ABSTRACT Background: Worldwide, acute appendicitis (AA) is the most frequent cause of acute surgical abdomen. Although typically associated with pain migrating to the right iliac fossa, AA can also manifest with pain in the left lower quadrant, often linked to anatomical anomalies. Latin America and the Caribbean (LAC) have the highest incidence of AA compared to other regions of the world. Objective: To explore the sociodemographic characteristics; clinical characteristics, and postoperative outcomes in patients with left-sided AA in LAC. Methods: We performed a systematic review including PubMed, Scopus, Web of Science, Embase, LILACS, Dialnet, Redalyc, Scielo, and Google Scholar databases. We considered as inclusion criteria case reports of left-sided appendicitis involving specific anatomical anomalies, and studies conducted in LAC. Morevoer, we assessed methodologic quality using Joanna Briggs Institute tool for case reports. Results: A total of 23 patients were included in 23 case reports. Colombia accounted for the majority of left-sided AA cases. The median age was 37 years (8-65). Initial pain location was diffuse abdominal pain (39.1%), pain was refered (n=5; 55.6%) and migrated (n=11; 78.6%) mainly to left iliac fossa. Situs inversus totalis (SIT) was the most prevalent anatomical anomaly (69.6%), while laparotomy emerged as the predominant surgical approach (65.2%). Conclusion: Considering left-sided AA in the diagnosis of adults with diffuse abdominal pain towards the left lower quadrant is crucial. SIT is the primary associated anatomical variation. These emphasize the significance of understanding atypical presentations for effective management in the LAC population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032024000100902&lng=en&tlng=enAcute appendicitissitus inversus totalisreview
spellingShingle Fabian A CHAVEZ-ECOS
Mayli M CONDORI-OROSCO
Anahy de la COLINA-SOSA
Sandra S CHAVEZ-MALPARTIDA
Carlos A DAVILA-HERNANDEZ
Alba ZEVALLOS
LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS
Arquivos de Gastroenterologia
Acute appendicitis
situs inversus totalis
review
title LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS
title_full LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS
title_fullStr LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS
title_full_unstemmed LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS
title_short LEFT-SIDED APPENDICITIS IN LATIN AMERICA AND THE CARIBBEAN: A SYSTEMATIC REVIEW OF CASE REPORTS
title_sort left sided appendicitis in latin america and the caribbean a systematic review of case reports
topic Acute appendicitis
situs inversus totalis
review
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032024000100902&lng=en&tlng=en
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