Jona J Z, Belin R P
Arch Surg. 1976 May;111(5):552-3. doi: 10.1001/archsurg.1976.01360230052009.
Twelve children with acute abdominal pain, which was suspected of being acute appendicitis, were subsequently found to have lower lobe pneumonia. Diagnostic barium enema or operative exploration failed to demonstrate any appendiceal abnormality. The abdominal symptoms and the ileus subsided soon after the initiation of antibiotic therapy. Contrary to common belief, it was observed that left-sided pneumonia is capable of mimicking appendicitis almost as frequently as right-sided pneumonia. Since the likelihood of acute appendicitis accompanying pneumonia is small, operative intervention is rarely indicated and should be undertaken only after careful and intensive investigation.
12名疑似急性阑尾炎的腹痛患儿随后被诊断为下叶肺炎。诊断性钡灌肠或手术探查均未发现阑尾有任何异常。抗生素治疗开始后，腹部症状和肠梗阻很快就消退了。与普遍看法相反的是，观察发现左侧肺炎几乎与右侧肺炎一样频繁地能够模拟阑尾炎。由于肺炎并发急性阑尾炎的可能性很小，很少需要进行手术干预，只有在经过仔细和深入的检查后才能进行。
