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Intestinal Research 2006;4(1):39-44.
Published online June 30, 2006.
The Inflamed Appendiceal Orifice does not Always Suggest Acute Appendicitis
Min Huh, Bo-In Lee, Kyu Yong Choi, Kyoung Mee Kim, Jeong Seon Ji, Byung Wook Kim, Hwang Choi, Se Hyun Cho, Woo Chul Chung, Kang Moon Lee, Sok Won Han, In Sik Chung
Departments of Internal Medicine and Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
충수 개구부 및 주변부에 국한된 염증 소견은 급성충수염을 의미하는가?
허민, 이보인, 최규용, 김경미, 지정선, 김병욱, 최황, 조세현, 정우철, 이강문, 한석원, 정인식
가톨릭대학교 의과대학 내과학교실, 해부병리학교실
Abstract
Background/Aims
Colonoscopy may be helpful in the diagnosis of appendicitis occasionally. However, it is unclear that isolated inflammation at the appendiceal orifice is always suggestive of acute appendicitis. Methods: Eighteen consecutive patients with colonoscopic findings of the isolated inflammatory lesion in the area of the appendiceal orifice were included. Surgical- pathology-proven appendicitis within 6 months after the colonoscopy were defined as 'true-appendicitis'. Results: Of the 18 patients, 16 patients were followed up for more than 6 months. Seven patients underwent appendectomy within 5-79 days after the colonoscopy. Of these, 4 patients (25%) had true-appendicitis, one periappendiceal abscess without appendicitis, two normal appendices. Nine patients did not take appendectomy. Of these, no definite etiology was defined in 6. Of the rest, one patient revealed Crohn's disease, one Behcet's disease and one cecal involvement of distal ulcerative colitis later. Conclusions: Isolated inflammation at the appendiceal orifice does not always suggest acute appendicitis but diverse etiologies. The diagnosis of appendicitis should not be made only by colonoscopic findings but also by clinical course and other imaging studies. (Intestinal Research 2006;4:39-44)
Key Words: Appendiceal orifice, Inflammation, Colonoscopy, Appendicitis
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