Evidence map›Paper›PMID 37143626›Full record

ReviewCureus2023

Typical and Atypical Presentations of Appendicitis and Their Implications for Diagnosis and Treatment: A Literature Review.

Sophia Echevarria, Fatima Rauf, Nabeel Hussain, Hira Zaka, Umm-E- Farwa, Nayab Ahsan, Alison Broomfield, Anum Akbar, Uzzam Ahmed Khawaja

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
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  3. Review
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  11. Diarrhea management: from pathophysiology to microbiota modulation.Therapeutic advances in gastroenterology · 2026
    Review
  12. Review
  13. Article
  14. Review
  15. Article
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  20. Evaluation of computed tomography (CT) appendicitis score and laboratory parameters in acute appendicitis with and without CT-detected appendicolith.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 5 countries.

Sophia EchevarriaSurgery, Universidad Mayor de San Simón, Cochabamba, BOL.
Fatima RaufInternal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
Nabeel HussainInternal Medicine, Saba University School-Medicine, Devens, USA.
Hira ZakaNeurosurgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Umm-E- FarwaSurgery, Jinnah Sindh Medical University, Karachi, PAK.
Nayab AhsanInternal Medicine, Quaid-e-Azam Medical College, Bahawalpur, PAK.
Alison BroomfieldFamily Medicine, Spartan Health Sciences University, Vieux Fort, LCA.
Anum AkbarPediatrics, University of Nebraska Medical Center, Omaha, USA.
Uzzam Ahmed KhawajaPulmonary and Critical Care Medicine, Jinnah Medical and Dental College, Karachi, PAK.
Rawalpindi Medical University · PKSaba University · YEBahawal Victoria Hospital · PKJinnah Medical & Dental College · PKSpartan Health Sciences University · LC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Appendicitis, an acute inflammation of the appendix, affects all demographic groups and exhibits various incidences and clinical manifestations. While acute appendicitis typically presents with colicky periumbilical abdominal pain that localizes to the right lower quadrant, atypical presentations are more common in children, geriatric, and pregnant patient populations, leading to delays in diagnosis. Clinical evaluation, clinical scoring systems, and inflammatory markers are commonly used, but their limitations have led to the increased use of diagnostic imaging in patients suspected of appendicitis. Acute appendicitis is managed by non-operative and operative management, depending on whether it is uncomplicated or complicated. Developing diagnostic pathways to improve outcomes and reduce complications is crucial. Although medical advancements have been made, diagnosing and managing appendicitis can be challenging, mainly when patients are present atypically. This literature review aims to comprehensively review typical and atypical presentations of appendicitis and their current implications for diagnosis and treatment modalities in pediatric, adult, pregnant, and geriatric patient populations.

Indexed as

appendixatypical appendicitisdiagnostic modalitiestherapeutic interventionstypical appendicitis

Identifiers

PMID37143626
PMCPMC10152406
OpenAlexW4362510930

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.