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KMID : 0361120090230030233
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Korean Journal of Transplantation
2009 Volume.23 No. 3 p.233 ~ p.236
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Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients
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Lee Han-Hee
Ju Man-Ki
Kim Myoung-Soo
Kim Soon-Il
Kim Yu-Seun
Lee Jung-Jun
Joo Dong-Jin
Kim Soo-Jin
Huh Kyu-Ha
Yoon Eyi-Sang
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Abstract
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Background: Appendicitis is a common surgical disease. There are many problems for the early diagnosis of acute appendicitis in kidney transplant patients; differential diagnosis for acute rejection, limitation in imaging study, problems of immunosuppressant and non-characteristic symptoms.
Methods: We reviewed medical records and transplant database of 2,947 renal transplant patients between April, 1979 and September, 2009 retrospectively. Patient’s characteristics, diagnostic methods for appendicitis and operative/postoperative progresses were analyzed.
Results: Of the 2,947 renal transplant patients, there were 15 (0.51%, 13 males and 2 females) acute appendicitis patients. Mean age at the diagnosis of appendicitis was 37.2±10.1 years. Fourteen (93.3%) patients suffered from prodromal symptom, such as abdominal pain, direct or rebound tenderness, nausea and vomiting. There were 12 (80%) patients with leukocytosis (WBC count ＞10,000/μL). Computed tomography scans were performed in 5 (33.4%) patients for diagnosis. Laparoscopic appendectomies were applied for 8 (53.4%) patients. In pathologic diagnosis, 2 cases were reported as ’non pathologic diagnosis’ complications occurred in 2 patients as remnant appendicitis and pancreatitis. However, there was no patient with mortality and renal failure during the hospitalization.
Conclusions: There were no significant differences between the transplant patients and the general population in the incidence, clinical features, diagnosis and postoperative progresses of acute appendicitis.
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KEYWORD
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Acute appendicitis, Kidney transplantation, Acute abdomen
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