[The strangulation of the appendicular process in the direct inguinal hernia].
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Acetyl phenotype was examined in 166 patients with appedicular peritonitis and in 96 patients with acute adhesive intestinal obstruction. The age of the patients ranged from 5 months to 14 years. It was revealed that postoperative adhesive complications developed mostly in patients with fast acetylation (more than 76%). It is demonstrated that acetyl phenotype may be used as a screening-test for prediction of the risk of postsoperative adhesive complications and preventive treatment.
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Torsion of the vermiform appendix is a rare condition that simulates acute appendicitis. An 8-year-old girl with symptoms suggestive of acute appendicitis is reported. At operation the appendix was found to be twisted 72 degrees and was resected.
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The use of the bias strategy of the statistical conclusion allows to substantially improve differential diagnostics of acute appendicitis and appendicular colic at the expense of complex account of clinical manifestations as a sum of their diagnostic coefficients. The algorithm of the assessment of the clinical manifestations is characterized by high sensitivity and specificity which allows to avoid missing the diagnosis of acute appendicitis where it takes place and to minimize (not more than 4%) hyperdiagnostics of appendicitis in appendicular colic.