{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:44:17Z","timestamp":1773269057459,"version":"3.50.1"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,2,8]],"date-time":"2011-02-08T00:00:00Z","timestamp":1297123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic pains of the right lower quadrant of the abdomen (RLQA) remain a challenging problem worldwide, especially in areas with limited technical background; chronic appendicitis is still a subject of controversy. The aim of this study was to analyze the clinical and paraclinical data of patients with chronic pains of RLQA who had an appendectomy performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During a period of 4 years, all patients presenting with a chronic pain of the RLQA were selected for our study and underwent clinical assessment and systematic ultrasonography of the abdomen; these served as a basis of selecting candidates for appendectomy. The intraoperative findings, histology results, and outcome after appendectomy were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred nineteen patients presented with chronic pains of the RLQA of which 213 could be finally analyzed; their mean age was 15.3 years; 192 patients were females. They had pains for 2\u20108 years. Echography showed a heterogeneous lesion in the RLQA in 87% of the cases. The operative findings displayed adhesions and other signs of chronic inflammation in 182 cases. Pathological analysis frequently revealed fibrosis and lymphoplasmocytic infiltration indicative of chronic inflammation. Eighty\u2010seven percent of the patients were cured by appendectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a chronic process involving the appendix that occurs in the RLQA of patients with chronic pains, typically the adolescent female. Appendectomy usually solves the problem. The criteria for selection of candidates still need to be identified, but in the absence of laparoscopic facilities, we recommend appendectomy when no other cause for the pain has been identified.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-011-0980-3","type":"journal-article","created":{"date-parts":[[2011,2,7]],"date-time":"2011-02-07T17:54:52Z","timestamp":1297101292000},"page":"723-730","source":"Crossref","is-referenced-by-count":4,"title":["Clinical, Ultrasonographic, and Pathologic Characteristics of Patients with Chronic Right\u2010lower\u2010quadrant Abdominal Pain that May Benefit from Appendectomy"],"prefix":"10.1002","volume":"35","author":[{"given":"Alain","family":"Chichom Mefire","sequence":"first","affiliation":[{"name":"University of Buea and Regional Hospital Limbe South West Region Cameroon"},{"name":"P.O. Box 25526 Yaound\u00e9 Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Tchounzou","sequence":"additional","affiliation":[{"name":"University of Buea and Regional Hospital Limbe South West Region Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick M.","family":"Kuwong","sequence":"additional","affiliation":[{"name":"Regional Hospital Limbe South West Region Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean P. A.","family":"Atangana","sequence":"additional","affiliation":[{"name":"Centre Pasteur Du Cameroun Yaound\u00e9 Center Region Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert C.","family":"Lysinge","sequence":"additional","affiliation":[{"name":"Regional Hospital Limbe South West Region Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eimo E.","family":"Malonga","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences Yaound\u00e9 Center Region Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,2,8]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.1997.tb04581.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10140\u2010005\u20100452\u2010x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(03)00277\u20100"},{"issue":"1","key":"e_1_2_6_5_2","first-page":"39","article-title":"Recurrent abdominal pain and \u201cchronic appendicitis\u201d","volume":"55","author":"Leardi S","year":"2000","journal-title":"Minerva Chir"},{"issue":"4","key":"e_1_2_6_6_2","first-page":"359","article-title":"Laparoscopic versus open appendectomy in patients with chronic appendicitis","volume":"10","author":"Xu FF","year":"2007","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6026"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010005\u20101632\u20101"},{"issue":"3","key":"e_1_2_6_9_2","first-page":"215","article-title":"Laparoscopy in the management of children with chronic recurrent abdominal pain","volume":"3","author":"Stringel G","year":"1999","journal-title":"JSLS"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2005.15.186"},{"issue":"12","key":"e_1_2_6_11_2","first-page":"1098","article-title":"Is there a chronic appendicitis in childhood? 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