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KMID : 0365719960120010094
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Journal of Pusan Surgical Society
1996 Volume.12 No. 1 p.94 ~ p.98
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Clinically Differential Diagnosis of Cecal Diverticulitis from Appendicitis
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서기원
서용준/최정석/유창현/김준현
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Abstract
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Cecal diverticulitis is presenting as a difficult differential diagnostic problems from acute appendicitis. The authors suggested that the following contents are useful for relatively correct diagnosis and proper treatment of cecal
diverticulitis.
A 24 cases of cecal diverticulitis were reviewed as prospective and retrospective study from March 1994 to September 1996 at the Department of General Surgery, Choon-Hae Hospital.
1) Initial pain site was localized at right lower quadrant of the abdomen and not changed during progression of illness (16 cases, 67%).
2) Relatively long-term suffering of localized abdominal pain (more than 72 hours) (14 cases, 58%).
3) Prodromal symptoms of acute appendicitis, such as nausea, vomiting and loss of appetite were rare (6 cases, 25%).
4) More lateral location of maximal tender site around McBruney point by physical examination (14 cases, 58%).
5) Sometimes the mass was palpated at maximal tender site (4 cases, 25%).
6) Leukocytosis was not common than appendicitis and not diagnostic value (14 cases , 58%).
7) Emergency ultrasonographic findings showed thickening of cecal wall and pericolic inflammatory fluid was identified by enlarged appendix was not noted (1- cases/14 cases, 71%).
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KEYWORD
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