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KMID : 0385920140250020219
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 2 p.219 ~ p.222
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A Case of Acute Appendicitis of Children which its Symptoms and Signs were Self-disappeared
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Oh Kyu-Ho
Doh Han-Ho
Lee Seung-Chul
Lee Jung-Hun
Seo Jun-Seok
Jo Min-Su
Kim Hee-Young
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Abstract
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Acute appendicitis is a disease resulting from inflammation of the appendix. The most common symptoms and physical examinations are the following: right lower abdomen pain, tenderness, rebound tenderness, nausea, vomiting, and fever. The clinician makes a diagnosis based on these symptoms and physicals along with ultrasonography or radiologic imaging, such as computed tomography (CT), forviewing of the inflamed appendix. In this case a sevenyear- old-male visited the Emergency Room with abdominal pain and tendernessin in the right lower quadrant, whose symptoms disappeared spontaneously without treatment, although the bedside ultrasonography showed an inflamed appendix. The patient underwent surgery and the operation findings indicated a concordant diagnosis. We report this case as the cardinal symptom of acute appendicitis has been right lower quadrant pain for many years, which may lead to misdiagnosis.
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KEYWORD
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Acute appendicitis, Pediatric appendicitis score, Abdominal ultrasonography
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