儿童期和青春期早期急性阑尾炎的泌尿系统症状

Urological symptoms of acute appendicitis in childhood and early adolescence.

作者信息

Gardikis Stefanos, Touloupidis Stavros, Dimitriadis Georgios, Limas Christos, Antypas Spyros, Dolatzas Theodoros, Polychronidis Alexandros, Simopoulos Constantinos

机构信息

Department of Pediatric Surgery, Democritus University of Thrace Medical School, Alexandroupolis, Greece.

出版信息

Int Urol Nephrol. 2002;34(2):189-92. doi: 10.1023/a:1023226631364.

DOI:10.1023/a:1023226631364

PMID:12775091

Abstract

We present 15 cases of acute appendicitis in ten boys and five girls (age 3-15 years) with cardinal symptomatology coming from the urogenital tract, who were treated in our departments. All the patients presented with right renal colic, dysuria, frequency and urinary retention. The symptoms were attributed to an ongoing appendix inflammatory process in close proximity to the right distal ureter and urinary bladder. All the patients were successfully operated, and postoperative courses were uneventful. As the present patient group is the largest reported to date, a classification of the pathophysiology in relation to the clinical presentation is proposed.

摘要

我们报告了15例急性阑尾炎病例，其中10名男孩和5名女孩（年龄3至15岁），主要症状源自泌尿生殖道，在我们科室接受治疗。所有患者均表现为右肾绞痛、排尿困难、尿频和尿潴留。这些症状归因于靠近右输尿管远端和膀胱的阑尾正在进行的炎症过程。所有患者均成功接受手术，术后病程平稳。鉴于目前该患者组是迄今为止报告的最大规模的，因此提出了与临床表现相关的病理生理学分类。